Provider Demographics
NPI:1114614229
Name:PROGRESSIVE SLEEP SOLUTIONS PLLC
Entity Type:Organization
Organization Name:PROGRESSIVE SLEEP SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COE/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-349-7560
Mailing Address - Street 1:21580 NOVI RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5601
Mailing Address - Country:US
Mailing Address - Phone:248-444-9650
Mailing Address - Fax:
Practice Address - Street 1:21580 NOVI RD STE 100
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5601
Practice Address - Country:US
Practice Address - Phone:248-444-9650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty