Provider Demographics
NPI:1770836918
Name:SAMAHA SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:SAMAHA SLEEP SOLUTIONS
Other - Org Name:JON W. SAMAHA, DMD, MMSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SAMAHA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MMSC
Authorized Official - Phone:603-225-2042
Mailing Address - Street 1:13 WALL ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3742
Mailing Address - Country:US
Mailing Address - Phone:603-225-2042
Mailing Address - Fax:
Practice Address - Street 1:13 WALL ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3742
Practice Address - Country:US
Practice Address - Phone:603-225-2042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1686332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies