1114407970 NPI number — EP DENTAL SLEEP MEDICINE, PLLC

Table of content: (NPI 1114407970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114407970 NPI number — EP DENTAL SLEEP MEDICINE, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EP DENTAL SLEEP MEDICINE, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114407970
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11825 STATE ROUTE 40 STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUNLAP
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61525-8842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
309-839-9971
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6901 HELEN OF TROY STE D2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79911-3130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-881-9898
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2018

Additional Information

Authorized Official

Authorized Official Last Name:
KALISH
Authorized Official First Name:
BRYAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
915-881-9898

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  23551 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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