Healthcare Provider Details

I. General information

NPI: 1841088564
Provider Name (Legal Business Name): VALLEY SLEEP AND AIRWAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 E FRANKLIN ST
APPLETON WI
54911-5434
US

IV. Provider business mailing address

N2714 BUCKHORN DR
APPLETON WI
54913-9611
US

V. Phone/Fax

Practice location:
  • Phone: 920-733-2371
  • Fax: 866-422-2518
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALISSA EDWARDS
Title or Position: OWNER
Credential:
Phone: 414-975-2240