Provider Demographics
NPI:1760847628
Name:SLEEPCARE DENTAL LLC
Entity Type:Organization
Organization Name:SLEEPCARE DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NISHANT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-788-2637
Mailing Address - Street 1:625 W DEER VALLEY RD STE 103622
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-2138
Mailing Address - Country:US
Mailing Address - Phone:480-788-2637
Mailing Address - Fax:888-203-1385
Practice Address - Street 1:625 W DEER VALLEY RD STE 103622
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-2138
Practice Address - Country:US
Practice Address - Phone:480-788-2637
Practice Address - Fax:888-203-1385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-20
Last Update Date:2015-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDentist AnesthesiologistGroup - Single Specialty