Provider Demographics
NPI:1346814233
Name:BUCKS COUNTY DENTAL SLEEP MEDICINE & TMJ THERAPY, PC
Entity Type:Organization
Organization Name:BUCKS COUNTY DENTAL SLEEP MEDICINE & TMJ THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:RICKERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-862-3300
Mailing Address - Street 1:135 N MAIN ST STE SLEEP
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1316
Mailing Address - Country:US
Mailing Address - Phone:215-862-3300
Mailing Address - Fax:215-862-5230
Practice Address - Street 1:135 NORTH MAIN STREET SUITE: SLEEP
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938
Practice Address - Country:US
Practice Address - Phone:215-862-3300
Practice Address - Fax:215-862-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty