Provider Demographics
NPI:1184045841
Name:SOUND SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:SOUND SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHARNITSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-654-7404
Mailing Address - Street 1:466 BEECHNUT DR
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1502
Mailing Address - Country:US
Mailing Address - Phone:215-654-7404
Mailing Address - Fax:
Practice Address - Street 1:466 BEECHNUT DR
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1502
Practice Address - Country:US
Practice Address - Phone:215-654-7404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty