Healthcare Provider Details
I. General information
NPI: 1083141329
Provider Name (Legal Business Name): GOTO SLEEP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2017
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5601 W EUGIE AVE STE 206
GLENDALE AZ
85304-1258
US
IV. Provider business mailing address
5601 W EUGIE AVE STE 206
GLENDALE AZ
85304-1258
US
V. Phone/Fax
- Phone: 877-811-4686
- Fax: 623-299-8799
- Phone: 623-299-8799
- Fax: 623-299-8799
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | D05894 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | D05894 |
| License Number State | AZ |
VIII. Authorized Official
Name:
STACEY
C.
LAYMAN
Title or Position: DENTIST / OWNER
Credential: DDS
Phone: 623-299-8799