Provider Demographics
NPI: | 1740915263 |
---|---|
Name: | SLEEP BETTER INDIANAPOLIS, INC |
Entity type: | Organization |
Organization Name: | SLEEP BETTER INDIANAPOLIS, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GERALYN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SCHROEDER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DDS |
Authorized Official - Phone: | 317-897-8028 |
Mailing Address - Street 1: | SLEEP BETTER INDIANAPOLIS |
Mailing Address - Street 2: | 8028 E 10TH ST |
Mailing Address - City: | INDIANAPOLIS |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 46219-5243 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 317-897-8028 |
Mailing Address - Fax: | 317-897-8025 |
Practice Address - Street 1: | SLEEP BETTER INDIANAPOLIS |
Practice Address - Street 2: | 8028 E. 10TH ST |
Practice Address - City: | INDIANAPOLIS |
Practice Address - State: | IN |
Practice Address - Zip Code: | 46219-5243 |
Practice Address - Country: | US |
Practice Address - Phone: | 317-897-8028 |
Practice Address - Fax: | 317-897-8025 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-07-19 |
Last Update Date: | 2022-07-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1223G0001X | Dental Providers | Dentist | General Practice | Group - Single Specialty |