Provider Demographics
NPI:1376157917
Name:SLEEP ELITE LLC
Entity Type:Organization
Organization Name:SLEEP ELITE LLC
Other - Org Name:BROOKWOOD DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ESCO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-224-3564
Mailing Address - Street 1:1569 JANMAR RD STE E
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-5780
Mailing Address - Country:US
Mailing Address - Phone:770-979-7923
Mailing Address - Fax:
Practice Address - Street 1:1569 JANMAR RD STE E
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5780
Practice Address - Country:US
Practice Address - Phone:770-979-7923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOKWOOD DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies