Shoreline Modern Dental LLC
NPI 1134477532ActiveOrganization· Dentist, General Practice· Old Saybrook, CT
Dentist, General Practice in Old Saybrook, Connecticut, registered in NPPES in August 2012. The authorized official on file is Bradley J. Daar, DDS, President/Owner.
Overview
| NPI | 1134477532 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2012 |
| Last updated in NPPES | Nov 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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