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Shoreline Anesthesia, Llc
Dentist Anesthesiologist in Kokomo, Indiana
NPI 1407445620

Shoreline Anesthesia, Llc is a Dentist Anesthesiologist based in Kokomo, IN and is specialized in Dentist Anesthesiologist. Shoreline Anesthesia, Llc practices in Kokomo, IN. The NPI Number for Shoreline Anesthesia, Llc is 1407445620 and holds a License No. (Indiana).

The current practice location address for Shoreline Anesthesia, Llc is 101 N Union St Unit 533, Kokomo, IN and can be reached out via phone at 718-644-0622.

Location: 101 N Union St Unit 533, Kokomo, IN, 46901-5045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407445620
Provider Name
Shoreline Anesthesia, Llc
Credential
Provider Entity Type
Organization
Address
101 N Union St Unit 533, Kokomo, IN, 46901-5045
Phone Number
718-644-0622
Fax Number
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780052936 05 MP
institution
Provider Business Practice Location Address Details
Address
101 N Union St Unit 533
City
Kokomo
State
Indiana
Zip
46901-5045
Phone Number
718-644-0622
Fax Number
person
Provider Business Mailing Address Details
Address
101 N Union St Unit 533
City
Kokomo
State
Indiana
Zip
46901-5045
Phone Number
718-644-0622
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
()
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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