Provider Demographics
NPI:1689072217
Name:SLEEP TIGHT APPLIANCES
Entity Type:Organization
Organization Name:SLEEP TIGHT APPLIANCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BURDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-244-0329
Mailing Address - Street 1:1540 HIGH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-3106
Mailing Address - Country:US
Mailing Address - Phone:515-244-0329
Mailing Address - Fax:
Practice Address - Street 1:1540 HIGH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-3106
Practice Address - Country:US
Practice Address - Phone:515-244-0329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-13
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08102122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty