Provider Demographics
NPI:1134703168
Name:DENTAL SLEEP SERVICES, LLC
Entity Type:Organization
Organization Name:DENTAL SLEEP SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CUARTAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:985-262-0549
Mailing Address - Street 1:600 VALHI BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-5976
Mailing Address - Country:US
Mailing Address - Phone:985-262-0549
Mailing Address - Fax:985-872-3680
Practice Address - Street 1:600 VALHI BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-5976
Practice Address - Country:US
Practice Address - Phone:985-262-0549
Practice Address - Fax:985-872-3680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies