Shoreline Dental Sleep Therapy, Llc | |
5 S Main St Branford CT 06405-3800 | |
(203) 481-3973 | |
(203) 488-4136 |
Full Name | Shoreline Dental Sleep Therapy, Llc |
---|---|
Speciality | Dentist |
Location | 5 S Main St, Branford, Connecticut |
Authorized Official Name and Position | Ronald J Bailey (MANAGER) |
Authorized Official Contact | 2034813973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shoreline Dental Sleep Therapy, Llc 5 S Main St Branford CT 06405-3800 Ph: (203) 481-3973 | Shoreline Dental Sleep Therapy, Llc 5 S Main St Branford CT 06405-3800 Ph: (203) 481-3973 |
NPI Number | 1891135109 |
---|---|
Provider Enumeration Date | 07/01/2013 |
Last Update Date | 07/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891135109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5366 (Connecticut) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 5366 (Connecticut) | Secondary |
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› Verified 6 days ago
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