Provider Demographics
NPI:1093222788
Name:SLEEPCARE DENTAL LLC
Entity Type:Organization
Organization Name:SLEEPCARE DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NISHANT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-788-2637
Mailing Address - Street 1:5005 S KIPLING PKWY STE A7-394
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-7930
Mailing Address - Country:US
Mailing Address - Phone:480-788-2637
Mailing Address - Fax:888-203-1385
Practice Address - Street 1:5005 S KIPLING PKWY STE A7-394
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-7930
Practice Address - Country:US
Practice Address - Phone:480-788-2637
Practice Address - Fax:888-203-1385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDentist AnesthesiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO79125034Medicaid