Provider Demographics
NPI:1538425954
Name:SLEEP DISORDERS-ORAL SOLUTIONS FOR TOTAL HEALTH, PLLC
Entity type:Organization
Organization Name:SLEEP DISORDERS-ORAL SOLUTIONS FOR TOTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-642-1000
Mailing Address - Street 1:3684 W MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3375
Mailing Address - Country:US
Mailing Address - Phone:248-642-1000
Mailing Address - Fax:248-642-1004
Practice Address - Street 1:3684 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3375
Practice Address - Country:US
Practice Address - Phone:248-642-1000
Practice Address - Fax:248-642-1004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
MI16969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty