Provider Demographics
NPI:1477931418
Name:SLEEP APNEA SOLUTIONS OF INDIANA, LLC
Entity Type:Organization
Organization Name:SLEEP APNEA SOLUTIONS OF INDIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRINCELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-577-2478
Mailing Address - Street 1:7207 N SHADELAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2881
Mailing Address - Country:US
Mailing Address - Phone:317-577-2478
Mailing Address - Fax:317-578-8773
Practice Address - Street 1:7207 N SHADELAND AVE STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2881
Practice Address - Country:US
Practice Address - Phone:317-577-2478
Practice Address - Fax:317-578-8773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009143A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty