Provider Demographics
NPI:1235516931
Name:SNORING SLEEP APNEA AND ADVANCED SLEEP APPLIANCE MANAGEMENT LLC
Entity Type:Organization
Organization Name:SNORING SLEEP APNEA AND ADVANCED SLEEP APPLIANCE MANAGEMENT LLC
Other - Org Name:ORAL APPLIANCE EXPERTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:KISER
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-756-2880
Mailing Address - Street 1:1221 S TRIMBLE RD, BUILDING A, SUITE A1
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2229
Mailing Address - Country:US
Mailing Address - Phone:419-756-2880
Mailing Address - Fax:419-775-8820
Practice Address - Street 1:1221 S TRIMBLE RD, BUILDING A, SUITE A1
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2229
Practice Address - Country:US
Practice Address - Phone:419-756-2880
Practice Address - Fax:419-775-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies