Provider Demographics
NPI:1932693967
Name:SLEEP HEALTHY UTAH LLC
Entity Type:Organization
Organization Name:SLEEP HEALTHY UTAH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:435-881-7270
Mailing Address - Street 1:3125 N MAIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NORTH LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-1550
Mailing Address - Country:US
Mailing Address - Phone:435-535-3445
Mailing Address - Fax:435-213-9952
Practice Address - Street 1:3125 N MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:NORTH LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-1550
Practice Address - Country:US
Practice Address - Phone:435-535-3445
Practice Address - Fax:435-213-9952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty