All About Sleep LLC

Organization Active NPI General Practice Dentistry · Canton, MI

NPI 1265853261 · NPPES record last updated Jan 10, 2014

Key facts

NPI
1265853261
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ALL ABOUT SLEEP LLC
Practice address
42180 Ford Rd
#301
Canton, MI 48187-3673
Phone
(734) 981-1199
NPI assigned
Dec 18, 2013
Organization subpart
No

Authorized official

Name
Dr. Marc Henry Salah, D.D.S
Title
Owner
Phone
(734) 981-1199

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140204000077 MI DME Supplier - Oral Surgery - Dentist 1951530476 Practice locations: Canton, MI
O20170208001906 MI Part B Supplier - Clinic/Group Practice 1951530476 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, MI

National Provider Directory

Locations

42180 Ford Rd
Ste 301
Canton, MI 48187
Phone (734) 259-6633

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

42180 Ford Rd
#301
Canton, MI 48187-3673

Mailing address

42180 Ford Rd
#301
Canton, MI 48187-3673
Phone (734) 981-1199

Other identifiers

IdentifierTypeStateIssuer
1710192562MedicaidMI

Other providers in Canton, MI

All providers in Canton, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.