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Organization
TEXAS DENTAL SLEEP SERVICES PLLC
Active
Organization
TEXAS DENTAL SLEEP SERVICES PLLC
Active
Parent organization
TEXAS DENTAL SLEEP SERVICES PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS DENTAL SLEEP SERVICES PLLC
Authorized official
ERIC NORTHEY (CEO)
(817) 291-2148
Entity
Organization
Contact information
Practice address
750 FISH CREEK THOROUGHFARE STE 260, MONTGOMERY, TX 77316-6966
(936) 289-9353
Mailing address
12505 HYMEADOW DR STE 2E, AUSTIN, TX 78750-1866
(512) 338-8120
(512) 338-8192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18705
DENTAL LICENSE
TX
Enumeration date
06/19/2024
Last updated
06/19/2024
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