# SHORELINE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063609220
- **Authorized official:** DR. SAMUEL PAUL WEINER DDS (OWNER)
- **Authorized official phone:** (586) 285-2000

## Contact information

- **Practice address:** 31118 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1950
- **Practice address phone:** (586) 285-2000
- **Practice address fax:** (586) 285-2499
- **Mailing address:** 31118 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1950
- **Mailing address phone:** (586) 285-2000
- **Mailing address fax:** (586) 285-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901007772 | MI | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/01/2007