Provider Demographics
NPI:1558770115
Name:SNORING AND SLEEP APNEA SOLUTIONS LLC
Entity Type:Organization
Organization Name:SNORING AND SLEEP APNEA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUNDSET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-575-7900
Mailing Address - Street 1:9899 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-3010
Mailing Address - Country:US
Mailing Address - Phone:727-575-7900
Mailing Address - Fax:727-258-4804
Practice Address - Street 1:9899 66TH ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-3010
Practice Address - Country:US
Practice Address - Phone:727-575-7900
Practice Address - Fax:727-258-4804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4696261QD0000X
FL4596332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment