# RENAISSANCE CENTER FOR SLEEP AND TMJ DISORDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326516006
- **Authorized official:** ANTHONY SCIANNI DMD (OWNER)
- **Authorized official phone:** (732) 462-9888

## Contact information

- **Practice address:** 16222 N 59TH AVE STE D170, GLENDALE, AZ 85306-1708
- **Practice address phone:** (732) 462-9888
- **Mailing address:** PO BOX 190, COLTS NECK, NJ 07722-0190
- **Mailing address phone:** (732) 462-9888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2018
- **Last updated:** 11/11/2018