Organization
BRIGHT SIDE SLEEP SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY T FISHMAN D.D.S. (MEMBER)
(248) 882-2070
Entity
Organization
Contact information
Practice address
43368 WOODWARD AVE, SUITE 100, BLOOMFIELD HILLS, MI 48302-5051
(248) 971-7366
(248) 971-7439
Mailing address
43368 WOODWARD AVE, SUITE 100, BLOOMFIELD HILLS, MI 48302-5051
(248) 971-7366
(248) 971-7439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901011555
MI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2901011555
MI
332BC3200X
Customized Equipment (DME)
2901011555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H73019
ALLIED DME PTAN
MI
01
—
1548283781
INDIVIDUAL NPI FOR RANDY T. FISHMAN, D.D.S.
MI
Enumeration date
01/27/2015
Last updated
09/09/2016
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