| Shoreline Dental Associates | |
|
100 Halls Rd Old Lyme CT 06371-1456 | |
| (860) 434-7279 | |
| Not Available |
| Full Name | Shoreline Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 100 Halls Rd, Old Lyme, Connecticut |
| Authorized Official Name and Position | Andrew Pilgrim (PARTNER) |
| Authorized Official Contact | 8604347279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Dental Associates 100 Halls Rd Po Box 397 Old Lyme CT 06371-1456 Ph: (860) 434-7279 | Shoreline Dental Associates 100 Halls Rd Old Lyme CT 06371-1456 Ph: (860) 434-7279 |
| NPI Number | 1578605960 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578605960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Shoreline Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Halls Rd Ste 10-12, Old Lyme, CT 06371 Phone: 860-434-7279 | |
Old Lyme Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Halls Rd, Suite 218, Old Lyme, CT 06371 Phone: 860-434-7378 Fax: 860-434-7537 |