Provider Demographics
NPI:1972058519
Name:SLEEPER, ANNE (RDH,CPHDH)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SLEEPER
Suffix:
Gender:F
Credentials:RDH,CPHDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3414
Mailing Address - Country:US
Mailing Address - Phone:603-749-3013
Mailing Address - Fax:603-749-2915
Practice Address - Street 1:668 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3414
Practice Address - Country:US
Practice Address - Phone:603-749-3013
Practice Address - Fax:603-749-2915
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1051124Q00000X
MERDH3948124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist