Healthcare Provider Details

I. General information

NPI: 1801330865
Provider Name (Legal Business Name): CENTER FOR DENTAL SLEEP HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2016
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 KINSLEY ST
NASHUA NH
03060-3658
US

IV. Provider business mailing address

193 KINSLEY ST
NASHUA NH
03060-3658
US

V. Phone/Fax

Practice location:
  • Phone: 603-886-4300
  • Fax: 603-886-5544
Mailing address:
  • Phone: 603-886-4300
  • Fax: 603-886-5544

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 Code122300000X
TaxonomyDentist
License Number2190
License Number StateNH

VIII. Authorized Official

Name: DR. STEPHEN CHARLES URA
Title or Position: PRESIDENT
Credential: DDS
Phone: 603-886-4300