Healthcare Provider Details

I. General information

NPI: 1336723303
Provider Name (Legal Business Name): ATLANTIC SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E MAIN ST
TUCKERTON NJ
08087-2805
US

IV. Provider business mailing address

345 E MAIN ST
TUCKERTON NJ
08087-2805
US

V. Phone/Fax

Practice location:
  • Phone: 609-993-2200
  • Fax:
Mailing address:
  • Phone: 609-993-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM DEMARCO
Title or Position: OWNER
Credential: DMD
Phone: 609-993-2200