Organization
TMJ & SLEEP INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN KYLE DALTON DDS, LVIF, FAACP (PRESIDENT)
(501) 733-0414
Entity
Organization
Contact information
Practice address
1502 AMELIA ST, NEW ORLEANS, LA 70115-3620
(501) 733-0414
Mailing address
PO BOX 1170, CONWAY, AR 72033-1170
(501) 733-0414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10106
TN
1223G0001X
General Practice Dentistry
2841
AR
1223G0001X
General Practice Dentistry
Primary
3441
LA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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