Provider Demographics
NPI:1821656976
Name:ASHLEY S DESAIX DDS PA
Entity Type:Organization
Organization Name:ASHLEY S DESAIX DDS PA
Other - Org Name:RESPAIR SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO & TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-307-8960
Mailing Address - Street 1:3200 BLUE RIDGE RD STE 224
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8087
Mailing Address - Country:US
Mailing Address - Phone:919-413-3128
Mailing Address - Fax:
Practice Address - Street 1:3200 BLUE RIDGE RD STE 224
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8087
Practice Address - Country:US
Practice Address - Phone:919-307-8960
Practice Address - Fax:919-893-1934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Single Specialty