Shoreline Dental Care LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CT006676 Issued in CT

Legal business name

SHORELINE DENTAL CARE LLC

Practice address

255 Cherry St Ste C
Milford, CT 06460-3503

Phone

(203) 874-3050

Fax

(203) 874-3990

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph David Tartagni, D.M.D.

Title

Owner/Member

Phone

(203) 931-3050

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Tartagni, D.M.D.

  • Dentist
  • West Haven, CT
  • NPI 1124470596
  NPD (past)

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1851765275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CHERRY ST STE C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603503",
            "telephone_number": "203-931-3050",
            "fax_number": "203-931-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHERRY ST STE C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603503",
            "telephone_number": "203-874-3050",
            "fax_number": "203-874-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "TARTAGNI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "203-931-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "CT006676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1457486706",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill P Shea
• Sheber Hutton LMFT LLC
• Kaitlyn Shemitz, DPT
• Amy Sherwood, CRNA
• Lawrence Shinbaum, MD
• Shoreline Physical Therapy and Sports Medicine LLC
• Marlene Shute, M.D.
• Dalia Sidhom, PHARM D
• Upinderjit Sidhu, MD
• Maria Frassinelli Sierra, LCSW

• Durable Medical Equipment & Medical Supplies in Milford, CT
• Providers in Milford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.