OrganizationActive
Shoreline Modern Dental LLC
NPI 1134477532 · General Practice Dentistry · Old Saybrook, CT
Shoreline Modern Dental LLC is a General Practice Dentistry organization in Old Saybrook, CT (NPI 1134477532).
Provider details
- NPI number
- 1134477532
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bradley Daar, President/Owner(860) 395-5200
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
191 Main St
Old Saybrook, CT 06475-2392
Phone: (860) 395-5200
Street-level locationGet directions
Mailing address
191 Main Street
Old Saybrook, CT 06475-2392
Other names (DBA / former)
- Other name
- Shoreline Modern Dental LLC
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2016-11-19
Frequently asked questions
- What is Shoreline Modern Dental LLC's NPI number?
- Shoreline Modern Dental LLC's National Provider Identifier (NPI) is 1134477532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shoreline Modern Dental LLC?
- Shoreline Modern Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Shoreline Modern Dental LLC located?
- Shoreline Modern Dental LLC's practice location on file with NPPES is 191 Main St, Old Saybrook, CT 06475-2392.
- What is Shoreline Modern Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Shoreline Modern Dental LLC is (860) 395-5200.
- Who is the authorized official for Shoreline Modern Dental LLC?
- The authorized official listed on Shoreline Modern Dental LLC's NPPES record is Bradley Daar, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shoreline Modern Dental LLC's NPI active?
- Yes — Shoreline Modern Dental LLC's NPI (1134477532) is active in the NPPES registry as of the last update on 2016-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.