Healthcare Provider Details

I. General information

NPI: 1366069981
Provider Name (Legal Business Name): WEST MICHIGAN SLEEP APNEA SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E 8TH ST STE 330
HOLLAND MI
49423-3541
US

IV. Provider business mailing address

31 E 8TH ST STE 330
HOLLAND MI
49423-3541
US

V. Phone/Fax

Practice location:
  • Phone: 616-741-9035
  • Fax: 616-772-9380
Mailing address:
  • Phone: 616-741-9035
  • Fax: 616-772-9380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAREL VANDERVELDEN
Title or Position: OWNER
Credential: DMD
Phone: 616-741-9035