Healthcare Provider Details

I. General information

NPI: 1609782333
Provider Name (Legal Business Name): SLEEP APNEA DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12395 EL CAMINO REAL STE 209
SAN DIEGO CA
92130-3084
US

IV. Provider business mailing address

PO BOX 1105
ALPINE CA
91903-1105
US

V. Phone/Fax

Practice location:
  • Phone: 858-567-5337
  • Fax:
Mailing address:
  • Phone: 619-241-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER PILBY
Title or Position: OWNER
Credential: DMD
Phone: 619-241-0750