Organization
ASHTABULA SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CRAIG SIVIK D.M.D., F.I.C.O.I. (GENERAL DENTIST, PRESIDENT, OWNER)
(440) 992-3146
Entity
Organization
Contact information
Practice address
5005 STATE RD, ASHTABULA, OH 44004-6265
(440) 992-3146
(440) 998-6932
Mailing address
5005 STATE RD, ASHTABULA, OH 44004-6265
(440) 992-3146
(440) 998-6932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/18/2016
Last updated
10/03/2024
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