Provider Demographics
NPI:1558134940
Name:GROOVY SLEEP PLLC
Entity Type:Organization
Organization Name:GROOVY SLEEP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-808-9953
Mailing Address - Street 1:8701 W PARMER LN
Mailing Address - Street 2:SUITE 1124
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-4942
Mailing Address - Country:US
Mailing Address - Phone:512-648-9901
Mailing Address - Fax:
Practice Address - Street 1:8701 W PARMER LN
Practice Address - Street 2:SUITE 1124
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-4942
Practice Address - Country:US
Practice Address - Phone:512-648-9901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies