MEDICARE: DEEP SLEEP REMEDIES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1538867411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEEP SLEEP REMEDIES PLLC

Provider Business Mailing Address
First Line	:	5103 NW CACHE RD
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-3415
Country	:	US
Telephone Number	:	580-248-4224
Fax Number	:	580-248-4299

Provider Business Practice Location Address
First Line	:	5103 NW CACHE RD
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-3415
Country	:	US
Telephone Number	:	580-248-4224
Fax Number	:	580-248-4299

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. BRETT RANDAL WARN
Credential	:	DDS
Telephone Number	:	580-248-4224

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/04/2026

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