Prairie Sleep Center LLC
NPI #1316598311 in Springfield, Illinois
Provider Information
- NPI Number
- 1316598311
- Entity Type
- Organization
- Organization Name
- Prairie Sleep Center LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TANYA L DESANTO DDS
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Sep 23, 2019
- Last Updated
- Oct 16, 2019
Practice Location
- Address
- 2900 GREENBRIAR DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6418
- Phone
- (217) 546-0412
Authorized Official
- Name
- DR. TANYA L DESANTO
- Title
- DENTIST/OWNER
- Phone
- (217) 546-0412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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| Siu Physicians & Surgeons, INC |  AI Deep Dive |
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