Provider Demographics
NPI:1235909441
Name:SLEEP BETTER LA VERNIA PLLC
Entity Type:Organization
Organization Name:SLEEP BETTER LA VERNIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-275-5035
Mailing Address - Street 1:101 VILLAS DR
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-4491
Mailing Address - Country:US
Mailing Address - Phone:830-779-6511
Mailing Address - Fax:830-779-1711
Practice Address - Street 1:101 VILLAS DR
Practice Address - Street 2:
Practice Address - City:LA VERNIA
Practice Address - State:TX
Practice Address - Zip Code:78121-4491
Practice Address - Country:US
Practice Address - Phone:830-779-6511
Practice Address - Fax:830-779-1711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty