Provider Demographics
NPI:1770142598
Name:CARMEL WEST DENTAL SLEEP THERAPY LLC
Entity type:Organization
Organization Name:CARMEL WEST DENTAL SLEEP THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBROTKA
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:317-253-8631
Mailing Address - Street 1:3965 W 106TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7781
Mailing Address - Country:US
Mailing Address - Phone:317-253-8631
Mailing Address - Fax:317-876-9715
Practice Address - Street 1:3965 W 106TH ST STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7781
Practice Address - Country:US
Practice Address - Phone:317-253-8631
Practice Address - Fax:317-876-9715
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NANCY Z. HALSEMA, D.D.S., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-06
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies