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EASTSIDE DENTAL SPECIALISTS PLLC

Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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Contact Information

EASTSIDE DENTAL SPECIALISTS PLLC
24901 KELLY RD
EASTPOINTE, MI  48021-1367
 Phone: 586-772-2090
 Fax: 586-772-0742
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Endodontics

 1223E0200X
 

Dental Hygienist

 124Q00000X
 

Dentist

 122300000X
 

General Practice

 1223G0001X
 

Oral and Maxillofacial Surgery

 1223S0112X 19 Oral Surgery (Dentist only)
 

Orthodontics and Dentofacial Orthopedics

 1223X0400X
 

Pediatric Dentistry

 1223P0221X
 

Periodontics

 1223P0300X
 

Prosthodontics

 1223P0700X
Indicates primary specialty

NPI Profile & details for EASTSIDE DENTAL SPECIALISTS PLLC

NPI Number 1740324052
LBN Legal business name EASTSIDE DENTAL SPECIALISTS PLLC
Authorized official ROBERT SHORE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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