Shruti Pore, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030433 Issued in IL

Practice address

800 S Milwaukee Ave Ste 111
Libertyville, IL 60048-3268

Phone

(847) 445-3907

NPI assigned

Feb 18, 2014

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shruti Pore DMD PLLC

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1295646032
  NPD (past) Authorized official
• Associates in Dentistry

  • Dentist
  • Bartonville, IL
  • NPI 1508948159
  NPD (past)

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1821413451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 111",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 111",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483268",
            "telephone_number": "847-445-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORE",
        "first_name": "SHRUTI",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil David Pollock, M.D.
• Madison Pomden, PHD
• Alina Pomian
• Andrew Lawrence Pono, PT, DPT
• Poppy Childrens Therapy
• Potempa and Cloe Dentistry
• Gary Allen Potempa, DDS
• David P Potts, D.D.S.
• Stathis Poulakidas, MD
• Power in Motion Rehabilitation Services, Inc.

• General Practice Dentistry in Libertyville, IL
• Providers in Libertyville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.