Provider Demographics
NPI:1114292380
Name:PRACTICAL SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:PRACTICAL SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:POSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-373-1056
Mailing Address - Street 1:1646 WESTGATE CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8559
Mailing Address - Country:US
Mailing Address - Phone:615-373-1056
Mailing Address - Fax:615-373-4864
Practice Address - Street 1:1646 WESTGATE CIR STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8559
Practice Address - Country:US
Practice Address - Phone:615-373-1056
Practice Address - Fax:615-373-4864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS004132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty