Healthcare Provider Details

I. General information

NPI: 1649958174
Provider Name (Legal Business Name): SWEET DREAMS ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 W DRY CREEK CIR STE 120
LITTLETON CO
80120-8078
US

IV. Provider business mailing address

654 FOX ST
DENVER CO
80204-4552
US

V. Phone/Fax

Practice location:
  • Phone: 303-951-8100
  • Fax:
Mailing address:
  • Phone: 303-957-7927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: STEVE KALLSEN
Title or Position: CRNA
Credential: CRNA
Phone: 303-957-7927