SHORELINE ORAL & MAXILLOFACIAL SURGEONS, PC
NPI 1679761142
Dentist - Oral and Maxillofacial Surgery in Old Saybrook, CT

Q: What is Shoreline Oral & Maxillofacial Surgeons, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since October 10, 2007

1480 BOSTON POST RD, OLD SAYBROOK, CT 06475(860) 388-5745(860) 388-2145 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shoreline Oral & Maxillofacial Surgeons, Pc NPPES

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

SHORELINE ORAL & MAXILLOFACIAL SURGEONS, PC (NPI 1679761142) is a healthcare organization registered as an oral and maxillofacial surgery in Old Saybrook, Connecticut and active in the NPI registry since October 2007. The organization lists Andrew J. Kressley, President, as its authorized official.

NPPES Registry Identity

NPI1679761142

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSHORELINE ORAL & MAXILLOFACIAL SURGEONS, PC

Location Address1480 BOSTON POST RDOld Saybrook, CT 06475-1750

Mailing Address1480 Boston Post RoadOld Saybrook, CT 06475-1750 · (860) 388-5745 · Fax (860) 388-2145

Phone(860) 388-5745

Fax(860) 388-2145

Organization SubpartNo

Authorized OfficialAndrew J. KressleyPresident · (860) 388-5745

Enumeration DateOctober 10, 2007

✔ NPI 1679761142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in DE · 7920

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1480 BOSTON POST RD, Old Saybrook, CT 06475

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Other Identifiers 1

Medicare UPINU42000CT

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. ANDREW J KRESSLEY DMD

Oral & Maxillofacial Surgery

1480 BOSTON POST RD
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 388-5745

DR. RICHARD M. GOLDFEDER D.M.D

Dentist (General Practice)

1480 BOSTON POST RD
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 388-3110

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 Oral & Maxillofacial Surgeons, PC's NPI number?

The NPI number for Shoreline Oral & Maxillofacial Surgeons, PC is 1679761142. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Shoreline Oral & Maxillofacial Surgeons, PC located?

Shoreline Oral & Maxillofacial Surgeons, PC is located at 1480 Boston Post Rd, Old Saybrook, CT 06475. The listed phone number is (860) 388-5745.

What is Shoreline Oral & Maxillofacial Surgeons, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Shoreline Oral & Maxillofacial Surgeons, PC was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.