Provider Demographics
NPI:1710507736
Name:REMEDIES SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:REMEDIES SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HETLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-661-3504
Mailing Address - Street 1:3335 BIG SKY DR
Mailing Address - Street 2:
Mailing Address - City:WICKENBURG
Mailing Address - State:AZ
Mailing Address - Zip Code:85390-2733
Mailing Address - Country:US
Mailing Address - Phone:602-661-3504
Mailing Address - Fax:
Practice Address - Street 1:3335 BIG SKY DR
Practice Address - Street 2:
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390-2733
Practice Address - Country:US
Practice Address - Phone:701-371-1223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies