Healthcare Provider Details

I. General information

NPI: 1669360160
Provider Name (Legal Business Name): SLEEP BETTER SOUTHWEST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 N BEAVER ST STE 1
FLAGSTAFF AZ
86001-3142
US

IV. Provider business mailing address

8841 E FLORENTINE RD STE E
PRESCOTT VALLEY AZ
86314-8776
US

V. Phone/Fax

Practice location:
  • Phone: 928-778-4555
  • Fax: 928-778-4560
Mailing address:
  • Phone: 928-778-4555
  • Fax: 928-778-4560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN HELD
Title or Position: MEMBER
Credential: DDS
Phone: 928-282-7871