Provider Demographics
NPI:1710227368
Name:SLEEP HEALTHY DENTAL THERAPY, LLC
Entity Type:Organization
Organization Name:SLEEP HEALTHY DENTAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-830-8360
Mailing Address - Street 1:P.O. BOX 480403
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33448
Mailing Address - Country:US
Mailing Address - Phone:561-404-1172
Mailing Address - Fax:561-210-4759
Practice Address - Street 1:15340 JOG ROAD
Practice Address - Street 2:STE. 100-18
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446
Practice Address - Country:US
Practice Address - Phone:561-404-1172
Practice Address - Fax:561-210-4759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN7503332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment