Provider Demographics
NPI:1821721622
Name:SNORE NO MORE BY ABS LLC
Entity Type:Organization
Organization Name:SNORE NO MORE BY ABS LLC
Other - Org Name:SNORE NO MORE BY ABS LLC - FORT LEE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MBR-MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-224-4400
Mailing Address - Street 1:1315 ANDERSON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-1732
Mailing Address - Country:US
Mailing Address - Phone:855-859-3300
Mailing Address - Fax:201-224-4418
Practice Address - Street 1:1315 ANDERSON AVE STE A
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-1732
Practice Address - Country:US
Practice Address - Phone:201-224-4400
Practice Address - Fax:201-224-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery