| Organization Name: | CENTER FOR DENTAL SLEEP MEDICINE,INC |
| NPI Number: | 1932527256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAELA L CLOSSON (OFFICE MANAGER) |
| Mailing Address: | 1136 East Stuart #3140 Ft Collins |
| State: | CO US |
| Postal Code: | 80525 |
| Phone Number: | 8557740760 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2014 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 05754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |