Provider Demographics
NPI:1851921910
Name:DENTAL SLEEP & TMJ PAIN SOLUTIONS
Entity Type:Organization
Organization Name:DENTAL SLEEP & TMJ PAIN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HETESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANCHOD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-856-5071
Mailing Address - Street 1:3730 SCHOONER RDG
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4269
Mailing Address - Country:US
Mailing Address - Phone:770-856-5071
Mailing Address - Fax:
Practice Address - Street 1:683 PIEDMONT RD NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4811
Practice Address - Country:US
Practice Address - Phone:770-856-5071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies