MICHIGAN DENTAL SLEEP CENTER INC
NPI 1376908392
Dentist - General Practice in Clio, MI

Q: What is Michigan Dental Sleep Center Inc's NPI number?

The NPI number for Michigan Dental Sleep Center Inc is 1376908392. It was assigned to this organization in the NPPES registry on December 17, 2015.

Q: What is Michigan Dental Sleep Center Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 17, 2015

4279 W VIENNA RD, CLIO, MI 48420(810) 659-1721(810) 659-0897 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 25, 2022, Dec 19, 2019, Dec 17, 2015 (3 updates tracked since 2015).

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About Michigan Dental Sleep Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN DENTAL SLEEP CENTER INC (NPI 1376908392) is a healthcare organization registered as a general practice in Clio, Michigan and active in the NPI registry since December 2015. The organization lists Chad M Witkow, President, as its authorized official.

NPPES Registry Identity

NPI1376908392

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMICHIGAN DENTAL SLEEP CENTER INC

Location Address4279 W VIENNA RDClio, MI 48420-9440

Mailing Address4279 W Vienna RdClio, MI 48420-9440 · (810) 659-1721 · Fax (810) 659-0897

Phone(810) 659-1721

Fax(810) 659-0897

Organization SubpartNo

Authorized OfficialChad M WitkowPresident · (810) 659-1721

Enumeration DateDecember 17, 2015

Last NPPES UpdateApril 25, 20223 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1376908392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

4279 W VIENNA RD, Clio, MI 48420

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Dental Sleep Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20160802002606DME · Oral Surgery - DentistDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PASCOE DENTAL LLC

Clinic/Center (Dental)