SHORELINE DENTAL CARE LLC (NPI# 1851765275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851765275 |
| Entity Type | Organization |
| Organization Name | SHORELINE DENTAL CARE LLC |
| Practice Address |
255 Cherry St Ste C Milford CT 06460-3503 |
| Practice Telephone | 2038743050 |
| Practice Fax Number | 2038743990 |
| Mailing Telephone | 2039313050 |
| Mailing Fax Number | 2039313055 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | DR. JOSEPH DAVID TARTAGNI (OWNER/MEMBER) |
| Authorized Official Telephone | 2039313050 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | CT006676 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | INDIVIDUAL NPI # | 1457486706 | 01 |
| Street Address |
255 CHERRY ST STE C |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1659911816 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 176 West St Ste P, Milford, MA 01757-2236 | 2020-01-15 |
| 1770936916 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 309 Nashua St, Milford, NH 03055-3796 | 2016-07-22 |
| 1659774016 | Mid-atlantic Cats LLC | Durable Medical Equipment & Medical Supplies | 23449 Rutt Rd, Milford, DE 19963-4741 | 2014-09-30 |
| 1053735233 | Us Healthcare Supply LLC | Durable Medical Equipment & Medical Supplies | 60 Bridge St, Milford, NJ 08848-1224 | 2014-02-10 |
| 1275962920 | New England Orthotic & Prosthetic Systems, LLC | Durable Medical Equipment & Medical Supplies | 396 Bridgeport Avenue, Milford, CT 06460-4104 | 2013-11-04 |
| 1316379027 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 601 N Dupont Blvd, Milford, DE 19963-1001 | 2013-08-05 |
| 1376985739 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 941 Bridgeport Ave, Suite M5, Milford, CT 06460-3142 | 2013-07-25 |
| 1891134631 | Tooze,easter & Manifold M.d. Pa | Durable Medical Equipment & Medical Supplies | 1005 Mattlind Way, Milford, DE 19963-5369 | 2013-06-14 |
| 1184971780 | Old Towne Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 401 S Dupont Blvd, Milford, DE 19963-1787 | 2012-08-14 |
| 1801163225 | Alitons Pharmacy Home Healthcare Centers of Milford Inc | Durable Medical Equipment & Medical Supplies | 111-113 Route 6 Alitons Plaza, Milford, PA 18337 | 2011-11-30 |
| Find all providers in MILFORD | ||||
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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.