Organization · Type 2 NPI
Shoreline Oral & Maxillofacial Surgeons, PC
Oral and Maxillofacial Surgery (Dentist) · Old Saybrook, CT
Practice location
1480 Boston Post Rd
Old Saybrook, CT 06475-1750
Fax (860) 388-2145
Mailing address
1480 Boston Post Road
Old Saybrook, CT 06475-1750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7920 (DE) |
Oral and Maxillofacial Surgery (Dentist): 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.
2 other providers at this address
About NPI 1679761142
Shoreline Oral & Maxillofacial Surgeons, PC's National Provider Identifier is 1679761142, issued on Oct 10, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Old Saybrook, CT. The record was last updated on Oct 10, 2007.