Provider Demographics
NPI:1760112809
Name:SLEEP WELL ARIZONA LLC
Entity Type:Organization
Organization Name:SLEEP WELL ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SPIGNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-677-6678
Mailing Address - Street 1:926 E MCDOWELL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2500
Mailing Address - Country:US
Mailing Address - Phone:602-253-0994
Mailing Address - Fax:602-258-7312
Practice Address - Street 1:926 E MCDOWELL RD STE 120
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2500
Practice Address - Country:US
Practice Address - Phone:602-253-0994
Practice Address - Fax:602-258-7312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty