Shoreline Dental Sleep Therapy, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

5366 Issued in CT

Legal business name

SHORELINE DENTAL SLEEP THERAPY, LLC

Practice address

5 S Main St
Branford, CT 06405-3800

Phone

(203) 481-3973

Fax

(203) 488-4136

NPI assigned

Jul 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J Bailey, DMDNPI 1306951694

Title

Manager

Phone

(203) 481-3973

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Ronald J Bailey, DMD

  • General Practice Dentistry
  • Branford, CT
  • NPI 1306951694
  NPD (past) Authorized official
• John J Girald, DMD

  • General Practice Dentistry
  • Branford, CT
  • NPI 1003921347
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1891135109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053800",
            "telephone_number": "203-481-3973",
            "fax_number": "203-488-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053800",
            "telephone_number": "203-481-3973",
            "fax_number": "203-488-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE DENTAL SLEEP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-481-3973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "5366",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CT",
            "license": "5366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Sheehan, MD
• Yilun Shen, DDS
• Devynn Shook, LMFTA
• Shoreline Aquatic Therapy, LLC
• Shoreline Center for Family Counseling & Psychotherapy, LLC
• Shoreline Health LLC
• Shoreline Medical Equipment, LLC
• Shoreline Neuropsychology and Behavioral Health, LLC
• Shoreline Nutrition Counseling, LLC
• Shoreline Psychiatric

• Dentist in Branford, CT
• Providers in Branford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.