Healthcare Provider Details

I. General information

NPI: 1346755865
Provider Name (Legal Business Name): SNORE NO MORE AND SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26-07 BROADWAY STE 22
FAIR LAWN NJ
07410-3837
US

IV. Provider business mailing address

100 OLD PALISADE RD APT 2909
FORT LEE NJ
07024-7023
US

V. Phone/Fax

Practice location:
  • Phone: 201-966-4812
  • Fax: 201-966-4812
Mailing address:
  • Phone: 855-859-3300
  • Fax: 201-966-4812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI01219000
License Number StateNJ

VIII. Authorized Official

Name: DR. MICHAEL DOBLIN
Title or Position: OWNER
Credential: DDS
Phone: 855-859-3300