Provider Demographics
NPI:1104312925
Name:YOUR SLEEP SOLUTION INC
Entity type:Organization
Organization Name:YOUR SLEEP SOLUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:MATTHIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:302-575-0100
Mailing Address - Street 1:3801 KENNETT PIKE STE E207
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2340
Mailing Address - Country:US
Mailing Address - Phone:302-575-0100
Mailing Address - Fax:
Practice Address - Street 1:3801 KENNETT PIKE STE E207
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:DE
Practice Address - Zip Code:19807-2340
Practice Address - Country:US
Practice Address - Phone:302-575-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-04
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental