Shoreline Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

9546 Issued in CT

Legal business name

SHORELINE DENTAL ASSOCIATES

Practice address

652 Boston Post Rd
Suite 12
Guilford, CT 06437-2719

Phone

(203) 453-2272

Fax

(203) 453-4991

NPI assigned

Jan 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Riham Kalta, DMDNPI 1467472845

Title

Dentist/Owner

Phone

(203) 453-2272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Riham Kalta, D.M.D.

  • General Practice Dentistry
  • Guilford, CT
  • NPI 1467472845
  NPD (past) Authorized official

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1972808053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 BOSTON POST RD",
            "address_2": "SUITE 12",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372719",
            "telephone_number": "203-453-2272",
            "fax_number": "203-453-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 BOSTON POST RD",
            "address_2": "SUITE 12",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372719",
            "telephone_number": "203-453-2272",
            "fax_number": "203-453-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "KALTA",
        "authorized_official_first_name": "RIHAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "203-453-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "9546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Scott Nutrition LLC
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• Janet E Shoemaker, LCSW MSW
• Shoreline Childrens Dentistry
• Shoreline Endoscopy Center, LLC
• Shoreline Eye Associates, P.C.
• Shoreline Internal Medicine, LLC
• Shoreline Neuropsychiatric Services, LLC
• Shoreline Pastoral Counseling LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.