Shoreline Family Dental, LLC
NPI #1538696026 in Old Lyme, Connecticut
Provider Information
- NPI Number
- 1538696026
- Entity Type
- Organization
- Organization Name
- Shoreline Family Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 16, 2017
- Last Updated
- May 16, 2017
Practice Location
- Address
- 100 HALLS RD STE 10-12
- City
- Old Lyme
- State
- Connecticut
- ZIP Code
- 06371-1456
- Phone
- (860) 434-7279
Authorized Official
- Name
- MS. SAMANTHA BURNELL
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (401) 578-0274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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