Deep Sleep Dental Solutions, LLC
Dentist, General Practice in Deland, FL. Organization (NPI-2).
NPI number1164044889
StatusActive
Last updated in NPPESMay 15, 2020
Details
- NPI
- 1164044889
- Entity type
- Organization (NPI-2)
- Legal business name
- Deep Sleep Dental Solutions, LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- May 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Deep Sleep Dental Solutions, LLC (Doing Business As)
Practice location
111 S Dexter AveDeland, FL 32720-5165
Phone 386-734-0482 · Fax 386-738-3768
Mailing address
3550 Bareback TrlOrmond Beach, FL 32174-7953
Phone 386-677-7367 · Fax 386-738-3768
Authorized official
Joseph Francis Goodreau
President/Dentist
3867340482
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