Provider Demographics
NPI:1063644888
Name:SNORING AND SLEEP APNEA DENTAL TREATMENT CENTER
Entity Type:Organization
Organization Name:SNORING AND SLEEP APNEA DENTAL TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-345-0290
Mailing Address - Street 1:7225 OHMS LN
Mailing Address - Street 2:SUITE 180
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2171
Mailing Address - Country:US
Mailing Address - Phone:952-345-0290
Mailing Address - Fax:952-920-0105
Practice Address - Street 1:7225 OHMS LN
Practice Address - Street 2:SUITE 180
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2171
Practice Address - Country:US
Practice Address - Phone:952-345-0290
Practice Address - Fax:952-920-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN95031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty