Provider Demographics
NPI:1346751260
Name:PENNSYLVANIA SLEEP SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PENNSYLVANIA SLEEP SOLUTIONS, LLC
Other - Org Name:SLEEP APNEA AND CRANIOFACIAL PAIN CENTER OF PENNSYLVANIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULZBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-900-0008
Mailing Address - Street 1:2020 PEEVY RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18041-2304
Mailing Address - Country:US
Mailing Address - Phone:215-900-0008
Mailing Address - Fax:
Practice Address - Street 1:2020 PEEVY RD
Practice Address - Street 2:
Practice Address - City:EAST GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:18041-2304
Practice Address - Country:US
Practice Address - Phone:215-900-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0377561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty