Provider Demographics
NPI:1104225952
Name:COLORADO SLEEP SOLUTIONS, LLC
Entity type:Organization
Organization Name:COLORADO SLEEP SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BURDICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-794-2258
Mailing Address - Street 1:26 W DRY CREEK CIR
Mailing Address - Street 2:SUITE 720
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8063
Mailing Address - Country:US
Mailing Address - Phone:303-794-2258
Mailing Address - Fax:303-794-3599
Practice Address - Street 1:26 W DRY CREEK CIR
Practice Address - Street 2:SUITE 720
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8063
Practice Address - Country:US
Practice Address - Phone:303-794-2258
Practice Address - Fax:303-794-3599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VICTOR H. BURDICK, JR., DDS P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-18
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6175332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment