Provider Demographics
NPI:1285972513
Name:SLEEPDENT APPLIANCES LTD
Entity type:Organization
Organization Name:SLEEPDENT APPLIANCES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:M ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:KANAWATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-777-0000
Mailing Address - Street 1:26777 LORAIN RD STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3200
Mailing Address - Country:US
Mailing Address - Phone:440-274-5000
Mailing Address - Fax:440-716-8608
Practice Address - Street 1:26777 LORAIN RD STE 614
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3222
Practice Address - Country:US
Practice Address - Phone:440-777-0000
Practice Address - Fax:440-734-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2158230207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty