Provider Demographics
NPI:1881196293
Name:EASTON SNORING AND SLEEP APNEA CENTER LLC
Entity Type:Organization
Organization Name:EASTON SNORING AND SLEEP APNEA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:POLLINA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:410-739-4465
Mailing Address - Street 1:1253 SCALP AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3137
Mailing Address - Country:US
Mailing Address - Phone:814-266-1070
Mailing Address - Fax:814-266-5881
Practice Address - Street 1:213 PARKS RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-2224
Practice Address - Country:US
Practice Address - Phone:410-739-4665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15932122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty