MEDICARE: SNORE NO MORE BY ABS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QD0000X	Dental Clinic/Center
2	261QM2500X	Medical Specialty Clinic/Center
3	261QS0112X	Oral and Maxillofacial Surgery Clinic/Center
4	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1821721622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNORE NO MORE BY ABS LLC

Provider Business Mailing Address
First Line	:	1315 ANDERSON AVE STE A
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-1732
Country	:	US
Telephone Number	:	855-859-3300
Fax Number	:	201-224-4418

Provider Business Practice Location Address
First Line	:	1315 ANDERSON AVE STE A
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-1732
Country	:	US
Telephone Number	:	201-224-4400
Fax Number	:	201-224-4418

Authorized Official
Title or Position	:	OWNER/MBR-MGR
Name	:	DR. DAVID JIN
Credential	:	DDS
Telephone Number	:	201-224-4400

Provider Enumeration Date	:	07/08/2022
Last Update Date	:	10/21/2022

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Directions to “SNORE NO MORE BY ABS LLC ” Practice Location

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