Organization
SHORELINE ORAL & MAXILLOFACIAL SURGEONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J. KRESSLEY DMD (PRESIDENT)
(860) 388-5745
Entity
Organization
Contact information
Practice address
1480 BOSTON POST RD, OLD SAYBROOK, CT 06475-1750
(860) 388-5745
(860) 388-2145
Mailing address
1480 BOSTON POST ROAD, OLD SAYBROOK, CT 06475-1750
(860) 388-5745
(860) 388-2145
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7920
DE
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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