Healthcare Provider Details

I. General information

NPI: 1205682531
Provider Name (Legal Business Name): ALTERNATIVE SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20542 N LAKE PLEASANT RD STE 109
PEORIA AZ
85382-9749
US

IV. Provider business mailing address

20542 N LAKE PLEASANT RD STE 109
PEORIA AZ
85382-9749
US

V. Phone/Fax

Practice location:
  • Phone: 623-566-1310
  • Fax: 623-566-1331
Mailing address:
  • Phone: 623-566-1310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON DAWSON
Title or Position: MANAGER
Credential: DMD
Phone: 623-326-9345