Provider Demographics
NPI:1689221152
Name:DENTAL SLEEP SOLUTIONS MEMPHIS PLLC
Entity Type:Organization
Organization Name:DENTAL SLEEP SOLUTIONS MEMPHIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RYU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:901-282-8092
Mailing Address - Street 1:6389 N QUAIL HOLLOW RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-1427
Mailing Address - Country:US
Mailing Address - Phone:901-767-3950
Mailing Address - Fax:
Practice Address - Street 1:6389 N QUAIL HOLLOW RD STE 202
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1427
Practice Address - Country:US
Practice Address - Phone:901-767-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No122300000XDental ProvidersDentistGroup - Single Specialty