Provider Demographics
NPI:1699489377
Name:BATON ROUGE DENTAL SLEEP SOLUTIONS
Entity type:Organization
Organization Name:BATON ROUGE DENTAL SLEEP SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:225-291-2951
Mailing Address - Street 1:3488 BRENTWOOD DR STE 103
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2015
Mailing Address - Country:US
Mailing Address - Phone:225-309-4785
Mailing Address - Fax:
Practice Address - Street 1:3488 BRENTWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2015
Practice Address - Country:US
Practice Address - Phone:225-930-4785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment