Provider Demographics
NPI:1568978237
Name:OCONEE SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:OCONEE SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-769-1659
Mailing Address - Street 1:1590 MARS HILL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-4892
Mailing Address - Country:US
Mailing Address - Phone:706-769-1659
Mailing Address - Fax:706-769-4346
Practice Address - Street 1:1590 MARS HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-4892
Practice Address - Country:US
Practice Address - Phone:706-769-1659
Practice Address - Fax:706-769-4346
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCONEE DENTAL, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies