Provider Demographics
NPI:1508302423
Name:SLEEP BETTER SC, LLC
Entity Type:Organization
Organization Name:SLEEP BETTER SC, LLC
Other - Org Name:SLEEP BETTER SC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BLALOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:843-494-5004
Mailing Address - Street 1:1022 PHYSICIANS DR # B
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5719
Mailing Address - Country:US
Mailing Address - Phone:843-494-5004
Mailing Address - Fax:866-462-0121
Practice Address - Street 1:1022 PHYSICIANS DR # B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5719
Practice Address - Country:US
Practice Address - Phone:843-494-5004
Practice Address - Fax:866-462-0121
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP BETTER SC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-17
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3158261QD0000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1417974361OtherNPI