Provider Demographics
NPI:1639689441
Name:SLEEP CYCLE CENTER, LLC
Entity Type:Organization
Organization Name:SLEEP CYCLE CENTER, LLC
Other - Org Name:SLEEP CYCLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHADWICK
Authorized Official - Middle Name:RHETT
Authorized Official - Last Name:DENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-645-0818
Mailing Address - Street 1:10900 RESEARCH BLVD STE 160C #78
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5718
Mailing Address - Country:US
Mailing Address - Phone:512-417-2001
Mailing Address - Fax:
Practice Address - Street 1:10900 RESEARCH BLVD STE 140C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5774
Practice Address - Country:US
Practice Address - Phone:512-645-0818
Practice Address - Fax:512-645-0646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223G0001X, 332BC3200X
TX22794261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental