Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shoreline Modern Dental LLC

Organization General Practice Dentistry · NPI 1134477532

Shoreline Modern Dental LLC is a General Practice Dentistry in Old Saybrook, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

191 Main St
Old Saybrook, CT 06475-2392
Phone: (860) 395-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (CT)

Record details

NPI number1134477532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Daar — President/Owner · (860) 395-5200
Other names Shoreline Modern Dental Llc
NPI enumeratedAugust 16, 2012
Last updated in NPPESNovember 19, 2016
Mailing address191 Main Street, Old Saybrook, CT 06475-2392

Other providers in Old Saybrook