South Shore Smiles Llc is a Dental Clinic in Saint John, Indiana. It is located at 9270 Wicker Ave, Suite E And F, Saint John, IN and its contact number is 219-627-3133. The authorized person for South Shore Smiles Llc is Dr. Roger K Shieh
who is Owner of the clinic and their contact number is 219-716-1259. The primary license number for South Shore Smiles Llc is 12011455A (General Practice) in Indiana. South Shore Smiles Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
South Shore Smiles Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
South Shore Smiles Llc
Specialization:
General Practice Dentistry
Clinic Address:
9270 Wicker Ave, Suite E And F, Saint John, Indiana, 46373-8508
Phone:
219-627-3133
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Roger K Shieh
Position:
Owner
Contact Number:
219-716-1259
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South Shore Smiles Llc clinic are as mentioned below.
NPI Number:
1356898050
NPI Enumeration Date:
09 Sep, 2016
NPI Last Update On:
09 Sep, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Shore Smiles Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
12011455A
Indiana
Primary
Pediatric Dentistry
12011456A
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1144540980
Medicaid
Indiana
1184944159
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
South Shore Smiles Llc 9270 Wicker Ave, Suite E And F Saint John, Indiana
Zip:
46373-8508
Phone Number:
219-627-3133
Patients can reach South Shore Smiles Llc at 9270 Wicker Ave, Suite E And F, Saint John, Indiana or can call to book an appointment on 219-627-3133. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.