Active NPIOrganization

Shoreline Childrens Dentistry

Dentist, Pediatric Dentistry in Guilford, Connecticut

NPI Number1114331931
Practice location
934 Boston Post RD, Suite 3-A, Guilford, CT 06437-2713
Fax
860-349-1481
Last updated
August 11, 2014

Shoreline Childrens Dentistry is a healthcare organization based in Guilford, CT. Shoreline Childrens Dentistry practices in Guilford, CT. The NPI Number for Shoreline Childrens Dentistry is 1114331931 and holds a License No. 009873 (CT). The current practice location address for Shoreline Childrens Dentistry is 934 Boston Post RD, Suite 3-A, Guilford, CT 06437-2713 and can be reached out via phone at 860-575-0594 and via fax at 860-349-1481.

Provider Profile Details

NPI Number
1114331931
Provider Name
Shoreline Childrens Dentistry
Provider Entity Type
Organization
Address
934 Boston Post RD, Suite 3-A, Guilford, CT 06437-2713
Phone Number
860-575-0594
Fax Number
860-349-1481
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Kathryn Margaret Glazer, DMD · Member · 860-575-0594
Provider Enumeration Date
June 19, 2014
Last Update Date
August 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
934 Boston Post RD
Suite 3-A
Guilford, CT 06437-2713
Zip
06437-2713
Phone Number
860-575-0594
Fax Number
860-349-1481
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
934 Boston Post RD
Suite 3-A
Guilford, CT 06437-2713
City
Guilford
State
CT
Zip
06437-2713
Phone Number
860-575-0594
Fax Number
860-349-1481

License Information

License Number (1)
009873
License State (1)
CT
Taxonomy (1)
Clinic/Center, Dental · 261QD0000X
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shoreline Childrens Dentistry?

The NPI number of Shoreline Childrens Dentistry is 1114331931. It was assigned on June 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Shoreline Childrens Dentistry?

Shoreline Childrens Dentistry is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 009873.

Where does Shoreline Childrens Dentistry practice?

The practice location is 934 Boston Post RD, Suite 3-A, Guilford, CT 06437-2713. The office can be reached at 860-575-0594 (phone) or 860-349-1481 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114331931 directly on the NPPES registry website.

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