Shoreline Oral & Maxillofacial Surgeons, Pc | |
1480 Boston Post Rd Old Saybrook CT 06475-1750 | |
(860) 388-5745 | |
(860) 388-2145 |
Full Name | Shoreline Oral & Maxillofacial Surgeons, Pc |
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Speciality | Dentist |
Location | 1480 Boston Post Rd, Old Saybrook, Connecticut |
Authorized Official Name and Position | Andrew J. Kressley (PRESIDENT) |
Authorized Official Contact | 8603885745 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shoreline Oral & Maxillofacial Surgeons, Pc 1480 Boston Post Road Old Saybrook CT 06475-1750 Ph: (860) 388-5745 | Shoreline Oral & Maxillofacial Surgeons, Pc 1480 Boston Post Rd Old Saybrook CT 06475-1750 Ph: (860) 388-5745 |
NPI Number | 1679761142 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 10/10/2007 |
Medicare PECOS PAC ID | 5698749521 |
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Medicare Enrollment ID | O20040825000602 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679761142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7920 (Delaware) | Primary |
Provider Name | Andrew J Kressley |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1225065295 PECOS PAC ID: 1850365784 Enrollment ID: I20070417000594 |
Shoreline Modern Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Main St, Old Saybrook, CT 06475 Phone: 860-395-5200 | |
Richard P Benoit Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 Phone: 860-388-2107 Fax: 860-510-0546 | |
Life Long Dental Care Of Old Saybrook Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-388-0242 | |
Life Long Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Elm St, Suite 900, Old Saybrook, CT 06475 Phone: 860-388-0242 Fax: 860-388-6495 | |
Samson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Stage Rd, Old Saybrook, CT 06475 Phone: 860-388-3845 | |
Craig S. Wilson, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Main St, Suite 1, Old Saybrook, CT 06475 Phone: 860-388-9774 | |
Rick Morant Dmd Ms Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 Phone: 860-388-3522 Fax: 860-388-3526 |