Provider Demographics
NPI:1578029021
Name:SLEEP WELL KC LLC
Entity Type:Organization
Organization Name:SLEEP WELL KC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:DALLAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-649-0310
Mailing Address - Street 1:5000 W 95TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66207-3300
Mailing Address - Country:US
Mailing Address - Phone:913-649-0310
Mailing Address - Fax:
Practice Address - Street 1:5000 W 95TH ST STE 300
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-3300
Practice Address - Country:US
Practice Address - Phone:913-649-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP WELL KC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies