Provider Demographics
NPI:1982486510
Name:SLEEP SOLUTION CENTERS LLC
Entity Type:Organization
Organization Name:SLEEP SOLUTION CENTERS LLC
Other - Org Name:SLEEP SOLUTION CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD AADSM D ASBA
Authorized Official - Phone:850-238-5868
Mailing Address - Street 1:6982 LAKE NONA BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7770
Mailing Address - Country:US
Mailing Address - Phone:850-238-5868
Mailing Address - Fax:
Practice Address - Street 1:6982 LAKE NONA BLVD STE 108
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7770
Practice Address - Country:US
Practice Address - Phone:850-238-5868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty