Healthcare Provider Details

I. General information

NPI: 1770406829
Provider Name (Legal Business Name): DENTAL SLEEP SOLUTIONS OF NORTHEAST OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 WHITE POND DR STE 200
AKRON OH
44320-1193
US

IV. Provider business mailing address

2416 WHIPPLE AVE NW
CANTON OH
44708-1514
US

V. Phone/Fax

Practice location:
  • Phone: 330-510-2585
  • Fax: 330-510-4858
Mailing address:
  • Phone: 330-510-2585
  • Fax: 330-510-4858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JANELLE BARTLETT
Title or Position: OFFICE MANAGER
Credential:
Phone: 330-510-2585