Shoreline Dental Associates, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHORELINE DENTAL ASSOCIATES, S.C.

Practice address

1415 N 8TH St
Manitowoc, WI 54220-2051

Phone

(920) 684-9685

Fax

(920) 684-4895

NPI assigned

Jul 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Karen A Lippert

Title

Office Manager

Phone

(920) 684-9685

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477577088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202051",
            "telephone_number": "920-684-9685",
            "fax_number": "920-684-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202051",
            "telephone_number": "920-684-9685",
            "fax_number": "920-684-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE DENTAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPPERT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-684-9685",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Shillcox
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Susan Shopodock, CLINICAL SOCIAL WORK
• Shoptikal LLC
• Ronald Lee Shull
• Megan Siebold
• Adriana M Siehr, NP
• Tahnee Siewert
• Stephanie Ann Simmons, P.T.

• General Practice Dentistry in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.