Provider Demographics
NPI:1376913343
Name:BT SLEEP LLC
Entity Type:Organization
Organization Name:BT SLEEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-266-7559
Mailing Address - Street 1:922 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6500
Mailing Address - Country:US
Mailing Address - Phone:319-266-7559
Mailing Address - Fax:319-277-5140
Practice Address - Street 1:922 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6500
Practice Address - Country:US
Practice Address - Phone:319-266-7559
Practice Address - Fax:319-277-5140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty