# SHORELINE ORAL & MAXILLOFACIAL SURGEONS, PC

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

## Provider details

- **NPI number:** 1679761142
- **Authorized official:** DR. ANDREW J. KRESSLEY DMD (PRESIDENT)
- **Authorized official phone:** (860) 388-5745

## Contact information

- **Practice address:** 1480 BOSTON POST RD, OLD SAYBROOK, CT 06475-1750
- **Practice address phone:** (860) 388-5745
- **Practice address fax:** (860) 388-2145
- **Mailing address:** 1480 BOSTON POST ROAD, OLD SAYBROOK, CT 06475-1750
- **Mailing address phone:** (860) 388-5745
- **Mailing address fax:** (860) 388-2145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7920 | DE | Yes |

## Other

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