SHORELINE DENTAL ASSOCIATES (NPI# 1578605960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578605960 |
| Entity Type | Organization |
| Organization Name | SHORELINE DENTAL ASSOCIATES |
| Practice Address |
100 Halls Rd Old Lyme CT 06371-1456 |
| Mailing Address |
100 Halls Rd Po Box 397 Old Lyme CT 06371-1456 |
| Practice Telephone | 8604347279 |
| Mailing Telephone | 8604347279 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDREW PILGRIM (PARTNER) |
| Authorized Official Telephone | 8604347279 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972808053 | Shoreline Dental Associates | Dentist | 652 Boston Post Rd, Suite 12, Guilford, CT 06437-2719 | 2011-01-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SHORELINE DENTAL ASSOCIATES, LLP | 100 Halls Road, P.o. Box 397, Old Lyme, CT 06371 |
| Street Address |
100 HALLS RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761877 | Sabine Odonnell LLC | Marriage & Family Therapist | 80 Halls Rd, Old Lyme, CT 06371 | 2019-10-15 |
| 1619487162 | Emily Chung | Pharmacist | 42 Browns Ln, Old Lyme, CT 06371 | 2017-10-10 |
| 1659822088 | Mona Saleh Hassan | Nurse Practitioner | Medoptions, 55 Hatchetts Hill Road, Old Lyme, Ct, CT 06371 | 2016-10-20 |
| 1740653278 | New England Pa LLC | Physician Assistant | 5 Davis Road East, Old Lyme, CT 06371 | 2015-11-05 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
| 1285844977 | Cary L. Walker | Social Worker | 6 Town Street, Lyme, CT 06371 | 2007-05-23 |
| 1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
| 1588784375 | Jan Fitzgerald Briscoe | Marriage & Family Therapist | 81 Halls Rd Unit C, Old Lyme, CT 06371 | 2007-03-29 |
| 1588702583 | Karl M Goldkamp | Naturopath | 81 Halls Road, Old Lyme, CT 06371 | 2007-02-02 |
| Find all providers in zip 06371 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354310 | Smileez | Dentist | 1 Darling Dr, Avon, CT 06001-4277 | 2020-10-21 |
| 1992316483 | Garrett Worsey | Dentist | 2432 Albany Ave Apt 203, West Hartford, CT 06117-2537 | 2020-08-10 |
| 1912523903 | Tyler Perimenis | Dentist | 105 Technology Dr Fl 2, Trumbull, CT 06611-6348 | 2020-06-25 |
| 1083237259 | Dental Smiles of Hartford, Pllc | Dentist | 550 Farmington Ave Ste B, Hartford, CT 06105-3041 | 2020-05-22 |
| 1376187872 | Sparkling Smiles Pllc | Dentist | 148 Talcottville Rd, Vernon, CT 06066-4705 | 2019-10-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1174176705 | Asnis Dental of Connecticut LLC | Dentist | 54 West Park Place, Stamford, CT 06901 | 2019-07-23 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1891252904 | Chidera Sharon Amilo | Dentist | 2001 W Main St Ste 135, Stamford, CT 06902-4543 | 2019-02-25 |
| 1831655836 | Plainville Dental Associates LLC | Dentist | 87 East St, Plainville, CT 06062-2301 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.