Provider Demographics
NPI:1326445552
Name:SLEEP WELL SOLUTIONS OF OKLAHOMA LLC
Entity Type:Organization
Organization Name:SLEEP WELL SOLUTIONS OF OKLAHOMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:TALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-321-8030
Mailing Address - Street 1:448 36TH AVE NW
Mailing Address - Street 2:103
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4746
Mailing Address - Country:US
Mailing Address - Phone:405-321-8030
Mailing Address - Fax:405-321-2108
Practice Address - Street 1:448 36TH AVE NW
Practice Address - Street 2:103
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4746
Practice Address - Country:US
Practice Address - Phone:405-321-8030
Practice Address - Fax:405-321-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3515332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies