Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shoreline Modern Dental LLC

Organization General Practice Dentistry · NPI 1134477532

Shoreline Modern Dental LLC provides General Practice Dentistry in Old Saybrook, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

191 Main St
Old Saybrook, CT 06475-2392
Phone: (860) 395-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (CT)

Record details

NPI number1134477532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Daar — President/Owner · (860) 395-5200
Other names Shoreline Modern Dental Llc
NPI enumeratedAugust 16, 2012
Last updated in NPPESNovember 19, 2016
Mailing address191 Main Street, Old Saybrook, CT 06475-2392

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