| Provident Sleep Solutions Pllc | |
|
40105 Grand River Ave Novi MI 48375-2170 | |
| (248) 471-0345 | |
| (248) 471-0671 |
| Full Name | Provident Sleep Solutions Pllc |
|---|---|
| Speciality | Dentist |
| Location | 40105 Grand River Ave, Novi, Michigan |
| Authorized Official Name and Position | Sunil Thakur (BUSINESS DIRECTOR) |
| Authorized Official Contact | 7346788288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Provident Sleep Solutions Pllc 40105 Grand River Ave Novi MI 48375-2170 Ph: (248) 471-0345 | Provident Sleep Solutions Pllc 40105 Grand River Ave Novi MI 48375-2170 Ph: (248) 471-0345 |
| NPI Number | 1346759370 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6507192473 |
|---|---|
| Medicare Enrollment ID | O20190730003675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346759370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Alan J Kessler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922027564 PECOS PAC ID: 6901061118 Enrollment ID: I20190829000591 |
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