Organization · Type 2 NPI
Shoreline Anesthesia, LLC
Dental Anesthesiology · Kokomo, IN
Practice location
101 N Union St Unit 533
Kokomo, IN 46901-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | None listed |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1407445620
Shoreline Anesthesia, LLC's National Provider Identifier is 1407445620, issued on Jan 12, 2021. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Kokomo, IN. The record was last updated on Jan 12, 2021.