Healthcare Provider Details

I. General information

NPI: 1902776693
Provider Name (Legal Business Name): OPENAIR DENTAL SLEEP MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 ABBOT RD STE 2A
EAST LANSING MI
48823-8535
US

IV. Provider business mailing address

2121 ABBOT RD STE 2A
EAST LANSING MI
48823-8535
US

V. Phone/Fax

Practice location:
  • Phone: 517-351-1733
  • Fax:
Mailing address:
  • Phone: 517-351-1733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON D MASHNI
Title or Position: OWNER
Credential: DDS
Phone: 517-490-4884