# PROVIDENT SLEEP SOLUTIONS PLLC

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

## Provider details

- **NPI number:** 1346759370
- **Authorized official:** MR. SUNIL THAKUR (BUSINESS DIRECTOR)
- **Authorized official phone:** (734) 678-8288

## Contact information

- **Practice address:** 40105 GRAND RIVER AVE, NOVI, MI 48375-2170
- **Practice address phone:** (248) 471-0345
- **Practice address fax:** (248) 471-0671
- **Mailing address:** 40105 GRAND RIVER AVE, NOVI, MI 48375-2170
- **Mailing address phone:** (248) 471-0345
- **Mailing address fax:** (248) 471-0671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 07/21/2022