Provider Demographics
NPI:1144858606
Name:POSEYVILLE DENTAL SLEEP SOLUTIONS LLC
Entity type:Organization
Organization Name:POSEYVILLE DENTAL SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALESIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:812-874-2235
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:POSEYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47633-0370
Mailing Address - Country:US
Mailing Address - Phone:812-874-2029
Mailing Address - Fax:812-270-4072
Practice Address - Street 1:15 N CALE ST
Practice Address - Street 2:
Practice Address - City:POSEYVILLE
Practice Address - State:IN
Practice Address - Zip Code:47633
Practice Address - Country:US
Practice Address - Phone:812-874-2029
Practice Address - Fax:812-270-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty