Shoreline Oral & Maxillofacial Surgeons, Pc in Old Saybrook - Oral And Maxillofacial Surgery
Shoreline Oral & Maxillofacial Surgeons, Pc - NPI 1679761142
Shoreline Oral & Maxillofacial Surgeons, Pc is a Oral And Maxillofacial Surgery in Old Saybrook, Connecticut. Shoreline Oral & Maxillofacial Surgeons, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Shoreline Oral & Maxillofacial Surgeons, Pc is 1679761142. The last update date is 2007-10-10.
Shoreline Oral & Maxillofacial Surgeons, Pc's current location address is 1480 Boston Post Road, Old Saybrook, Connecticut. You can contact this provider via phone number 8603885745 and fax number 8603882145. The mailing address for Shoreline Oral & Maxillofacial Surgeons, Pc is 1480 Boston Post Road, Old Saybrook, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shoreline Oral & Maxillofacial Surgeons, Pc |
|---|---|
| Address | 1480 Boston Post Road, Old Saybrook, Connecticut |
| Phone Number | 8603885745 |
| Fax Number | 8603882145 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kressley J. Andrew |
| Credentials | DMD |
| Telephone Number | 8603885745 |
NPI Number Detail
| NPI Number | 1679761142 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 1480 Boston Post Road |
|---|---|
| City | Old Saybrook |
| State | Connecticut (CT) |
| Post Code | 64751750 |
| Phone Number | 8603885745 |
| Fax Number | 8603882145 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 7920 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique identifier code issued to Shoreline Oral & Maxillofacial Surgeons, Pc by the Centers for Medicare & Medicaid Services?
The Shoreline Oral & Maxillofacial Surgeons, Pc has been assigned the NPI (National Provider Identifier) 1679761142. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shoreline Oral & Maxillofacial Surgeons, Pc located?
The Shoreline Oral & Maxillofacial Surgeons, Pc is located at 1480 Boston Post Road, Old Saybrook, CT 64751750.
What is Shoreline Oral & Maxillofacial Surgeons, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shoreline Oral & Maxillofacial Surgeons, Pc's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When did the Shoreline Oral & Maxillofacial Surgeons, Pc receive its 1679761142?
The Shoreline Oral & Maxillofacial Surgeons, Pc was issued its 1679761142 on 2007-10-10, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Shoreline Oral & Maxillofacial Surgeons, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shoreline Oral & Maxillofacial Surgeons, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-10.