Provider Demographics
NPI:1205488186
Name:DELAWARE DENTAL SLEEP MEDICINE, LLC
Entity type:Organization
Organization Name:DELAWARE DENTAL SLEEP MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIATOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, FAGD
Authorized Official - Phone:302-384-7801
Mailing Address - Street 1:1211 MILLTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3003
Mailing Address - Country:US
Mailing Address - Phone:302-384-7801
Mailing Address - Fax:302-476-8188
Practice Address - Street 1:125-2 GREENTREE DRIVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7656
Practice Address - Country:US
Practice Address - Phone:302-384-7801
Practice Address - Fax:302-200-3735
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELAWARE DENTAL SLEEP MEDICINE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-11
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies