MEDICARE: DENTAL SLEEP CARE LLC

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	332BC3200X	Customized Equipment (DME)
2	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1861359994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL SLEEP CARE LLC

Provider Business Mailing Address
First Line	:	41382 RASPBERRY DR
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-7826
Country	:	US
Telephone Number	:	703-651-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 PIDGEON HILL DR STE 103
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-6180
Country	:	US
Telephone Number	:	703-651-6620
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARYAM AHMED
Credential	:
Telephone Number	:	703-651-6620

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “DENTAL SLEEP CARE LLC ” Practice Location

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