Dental Sleep Providers, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DENTAL SLEEP PROVIDERS, LLC

Practice address

945 Main St Ste 303
Manchester, CT 06040-6064

Phone

(860) 643-5350

Fax

(860) 646-5807

NPI assigned

Jan 14, 2019

Last updated

Mar 8, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradley J. Daar, DDS, MS

Title

Dentist/Owner

Phone

(860) 643-5350

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Conway Ma, DMD

  • General Practice Dentistry
  • Tolland, CT
  • NPI 1891156816
  NPD (past)
• Faye F Mamaghani, D.M.D.

  • General Practice Dentistry
  • Manchester, CT
  • NPI 1871675298
  NPD (past)
• Diana M Radulescu II, D.D.S.

  • Dentist
  • Manchester, CT
  • NPI 1053597567
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1336613330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MAIN ST STE 302",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406064",
            "telephone_number": "860-643-5350",
            "fax_number": "860-646-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST STE 303",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406064",
            "telephone_number": "860-643-5350",
            "fax_number": "860-646-5807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Main St",
            "address_purpose": "LOCATION",
            "city": "Old Saybrook",
            "state": "CT",
            "postal_code": "064752392",
            "country_code": "US",
            "telephone_number": "860-395-5200",
            "fax_number": "860-510-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL SLEEP PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "DAAR",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "860-643-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn R Delvalle
• Stephanie Demola
• Rebecca Jaye Demusis, LCSW
• Edith A Dennis
• Edward G Denstman, MD
• Courtney M Denza
• Debra Jean Depasqua, RN
• Victoria C Depietro
• Dweeti Desai
• Justin Dessereaux, D.D.S.

• Durable Medical Equipment & Medical Supplies in Manchester, CT
• Providers in Manchester, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.