Organization Active NPI

Shores Dental Reflections, PLC

  • General Practice Dentistry
  • Saint Clair Shores, MI
National Provider Identifier
1053574616
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017451 Issued in MI
Legal business name
SHORES DENTAL REFLECTIONS, PLC
Practice address
31120 Harper Ave
Saint Clair Shores, MI 48082-1950
Phone
(586) 285-2000
Fax
(586) 285-2499
NPI assigned
Jul 3, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gus Kaloti
Title
President
Phone
(586) 285-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901017451 MI Primary

Addresses

Primary practice location

31120 Harper Ave
Saint Clair Shores, MI 48082-1950

Mailing address

31120 Harper Ave
Saint Clair Shores, MI 48082-1950
Phone (586) 285-2000

National Provider Directory

National Provider Directory

Locations

31120 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 285-2000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1053574616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31120 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821950",
            "telephone_number": "586-285-2000",
            "fax_number": "586-285-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31120 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821950",
            "telephone_number": "586-285-2000",
            "fax_number": "586-285-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES DENTAL REFLECTIONS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "KALOTI",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-285-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.