Provider Demographics
NPI:1013207315
Name:DENTAL SOLUTIONS FOR SLEEP APNEA
Entity Type:Organization
Organization Name:DENTAL SOLUTIONS FOR SLEEP APNEA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-944-4625
Mailing Address - Street 1:9255 TEAL CIR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-2847
Mailing Address - Country:US
Mailing Address - Phone:801-944-4625
Mailing Address - Fax:
Practice Address - Street 1:9255 TEAL CIR
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-2847
Practice Address - Country:US
Practice Address - Phone:801-944-4625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment