Provider Demographics
NPI:1336639335
Name:DENTAL SLEEP MEDICINE LLC
Entity Type:Organization
Organization Name:DENTAL SLEEP MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:F
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-948-1212
Mailing Address - Street 1:15225 SHADY GROVE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3296
Mailing Address - Country:US
Mailing Address - Phone:301-948-1212
Mailing Address - Fax:301-840-1722
Practice Address - Street 1:15225 SHADY GROVE RD STE 301
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3296
Practice Address - Country:US
Practice Address - Phone:301-948-1212
Practice Address - Fax:301-840-1722
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHERYL F CALLAHAN DDS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies