Provider Demographics
NPI:1528803947
Name:NOVI SLEEP AND TMJ PLLC
Entity type:Organization
Organization Name:NOVI SLEEP AND TMJ PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANJOO
Authorized Official - Middle Name:
Authorized Official - Last Name:ELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-347-3030
Mailing Address - Street 1:27225 PROVIDENCE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1271
Mailing Address - Country:US
Mailing Address - Phone:248-347-3030
Mailing Address - Fax:
Practice Address - Street 1:27225 PROVIDENCE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1271
Practice Address - Country:US
Practice Address - Phone:248-347-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental