Healthcare Provider Details

I. General information

NPI: 1073424677
Provider Name (Legal Business Name): CASTLE ROCK SLEEP, TMJ & OROFACIAL PAIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

779 CROSSROADS CIR
ELIZABETH CO
80107-5119
US

IV. Provider business mailing address

5281 FOXBOROUGH CT
HIGHLANDS RANCH CO
80130-6898
US

V. Phone/Fax

Practice location:
  • Phone: 303-646-3935
  • Fax:
Mailing address:
  • Phone:
  • 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: CHRISTOPHER RAY SPROUT
Title or Position: OWNER
Credential: DDS
Phone: 303-646-3935