# COASTAL CONNECTICUT ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hamden Shoreline Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811199458
- **Authorized official:** DR. DAVID P. SALOMON DDS (OWNER)
- **Authorized official phone:** (203) 458-4450

## Contact information

- **Practice address:** 246 GOOSE LN STE 204, GUILFORD, CT 06437-2186
- **Practice address phone:** (203) 453-7700
- **Practice address fax:** (203) 458-5085
- **Mailing address:** 246 GOOSE LN STE 204, GUILFORD, CT 06437-2186
- **Mailing address phone:** (203) 453-7700
- **Mailing address fax:** (203) 458-2708

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 04/23/2021