Provider Demographics
NPI:1356093082
Name:PRESCOTT SLEEP SOLUTIONS INC
Entity Type:Organization
Organization Name:PRESCOTT SLEEP SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:ROCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-289-0403
Mailing Address - Street 1:122 N CORTEZ ST STE 302
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3024
Mailing Address - Country:US
Mailing Address - Phone:928-235-6925
Mailing Address - Fax:
Practice Address - Street 1:122 N CORTEZ ST STE 302
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-3024
Practice Address - Country:US
Practice Address - Phone:928-235-6925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies