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Organization
SIGNATURE SMILE ARTS, PC
Active
Organization
SIGNATURE SMILE ARTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER MICHAEL SHORE DDS (OWNER/ PRESIDENT)
(708) 799-5353
Entity
Organization
Contact information
Practice address
18114 GOTTSCHALK AVE, HOMEWOOD, IL 60430-2208
(708) 799-5353
Mailing address
1001 S STATE ST UNIT 1401, CHICAGO, IL 60605-2231
(248) 345-3521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/10/2022
Last updated
02/20/2023
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