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SHORELINE PERIODONTICS, PC
NPI 1679684757
Dentist - Periodontics in New London, CT

Active since August 31, 2006
190 HEMPSTEAD ST, NEW LONDON, CT 06320(860) 443-5298(860) 443-6704 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shoreline Periodontics, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORELINE PERIODONTICS, PC (NPI 1679684757) is a healthcare organization registered as a periodontics in New London, Connecticut and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Middletown and lists Gregory A Toback, President, as its authorized official.

NPPES Registry Identity

NPI1679684757
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSHORELINE PERIODONTICS, PC
Location Address190 HEMPSTEAD STNew London, CT 06320-6248
Mailing Address190 Hempstead StNew London, CT 06320-6248 · (860) 443-5298 · Fax (860) 443-6704
Phone(860) 443-5298
Fax(860) 443-6704
Organization SubpartNo
Authorized OfficialGregory A TobackPresident · (860) 443-5298
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 22, 2022
NPPES CertifiedFebruary 14, 2022
✔ NPI 1679684757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in CT · 8455✔ Licensed in RI · 2628
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
190 HEMPSTEAD ST, New London, CT 06320
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Secondary Practice Location 1

Location 1535 Saybrook Rd Ste 5Middletown, CT 06457-4743 · Phone (860) 346-9665

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARAVIND BALAGOPALAN MENON D.M.D.
Dentist (Pediatric Dentistry)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-3216
DR. CHRISTOPHER BRETT CLARK D.M.D.
Dentist (Pediatric Dentistry)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-3216
DR. GARRETT T BRENNAN DDS
Dentist (Pediatric Dentistry)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-3216
DR. GREGORY A TOBACK D.M.D.,M.S.
Dentist (Periodontics)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-5298
ENDODONTICS PC
Dentist (Endodontics)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-0338
DR. DANIEL ROLOTTI DMD
Dentist (Periodontics)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-2428
DR. ELLEN PEARCE DMD
Dentist (Periodontics)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-2428
DR. KEILA NORMAN DMD
Dentist (Periodontics)
190 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-2428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoreline Periodontics, PC's NPI number?

The NPI number for Shoreline Periodontics, PC is 1679684757. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Shoreline Periodontics, PC located?

Shoreline Periodontics, PC is located at 190 Hempstead St, New London, CT 06320. The listed phone number is (860) 443-5298.

What is Shoreline Periodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Shoreline Periodontics, PC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.