Shoreline Family Dental, LLC
Dentist, General Practice in Old Lyme, Connecticut
1538696026- Practice location
- 100 Halls RD Ste 10-12, Old Lyme, CT 06371-1456
- Phone
- 860-434-7279
- Fax
- —
- Last updated
- May 16, 2017
Shoreline Family Dental, LLC is a healthcare organization based in Old Lyme, CT. Shoreline Family Dental, LLC practices in Old Lyme, CT. The NPI Number for Shoreline Family Dental, LLC is 1538696026 and holds a License No. 193400000X. The current practice location address for Shoreline Family Dental, LLC is 100 Halls RD Ste 10-12, Old Lyme, CT 06371-1456 and can be reached out via phone at 860-434-7279.
Provider Profile Details
- NPI Number
- 1538696026
- Provider Name
- Shoreline Family Dental, LLC
- Provider Entity Type
- Organization
- Address
- 100 Halls RD Ste 10-12, Old Lyme, CT 06371-1456
- Phone Number
- 860-434-7279
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Ms. Samantha Burnell · Chief Operations Officer · 401-578-0274
- Provider Enumeration Date
- May 16, 2017
- Last Update Date
- May 16, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Halls RD Ste 10-12
Old Lyme, CT 06371-1456 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1456
- Phone Number
- 860-434-7279
Provider Business Mailing Address Details
- Address
- 81 Danielson Pike
North Scituate, RI 02857-1892 - City
- North Scituate
- State
- RI
- Zip
- 02857-1892
License Information
- License Number
- 193400000X
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Old Lyme, CT
View all Dentist, General Practice providers in Old Lyme →- Dr. Anthony A Corrao, DDSDentist, General Practice · NPI 1124231279
- Dr. Michael A D'Occhio, DMDDentist, General Practice · NPI 1700195807
- Elizabeth J Clark, DDSDentist, General Practice · NPI 1407038128
- Lisa S MaleikoNurse Practitioner, Psych/Mental Health · NPI 1548048093
- Dr. Holly A Schiff, PSYDPsychologist, Clinical · NPI 1184262057
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Frequently Asked Questions
What is the NPI number of Shoreline Family Dental, LLC?
The NPI number of Shoreline Family Dental, LLC is 1538696026. It was assigned on May 16, 2017 and is currently active in the NPPES registry.
What is the specialty of Shoreline Family Dental, LLC?
Shoreline Family Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed under license number 193400000X.
Where does Shoreline Family Dental, LLC practice?
The practice location is 100 Halls RD Ste 10-12, Old Lyme, CT 06371-1456. The office can be reached at 860-434-7279 (phone).
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 1538696026 directly on the NPPES registry website.