MEDICARE: DENTISTRY 4 SLEEP APNEA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1497148886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTISTRY 4 SLEEP APNEA LLC

Provider Business Mailing Address
First Line	:	6960 WESTCLIFF DR STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4201
Country	:	US
Telephone Number	:	702-522-2028
Fax Number	:

Provider Business Practice Location Address
First Line	:	6960 WESTCLIFF DR STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4201
Country	:	US
Telephone Number	:	702-522-2028
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID TING
Credential	:
Telephone Number	:	702-522-2028

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	03/10/2015

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