Provider Demographics
NPI:1649600347
Name:SLEEP APNEA DENTAL SOLUTIONS OF TOWSON, LLC
Entity Type:Organization
Organization Name:SLEEP APNEA DENTAL SOLUTIONS OF TOWSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-321-0551
Mailing Address - Street 1:8600 LASALLE ROAD
Mailing Address - Street 2:SUITE 406, SEVERN BUILDING
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286
Mailing Address - Country:US
Mailing Address - Phone:410-321-0551
Mailing Address - Fax:410-821-5220
Practice Address - Street 1:8600 LASALLE ROAD
Practice Address - Street 2:SUITE 406, SEVERN BUILDING
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:410-321-0551
Practice Address - Fax:410-821-5220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD5926122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty