Healthcare Provider Details

I. General information

NPI: 1467378729
Provider Name (Legal Business Name): ERIKS DENTAL GROUP SLEEP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3389A W WOOLBRIGHT RD
BOYNTON BEACH FL
33436-7245
US

IV. Provider business mailing address

3389A W WOOLBRIGHT RD
BOYNTON BEACH FL
33436-7245
US

V. Phone/Fax

Practice location:
  • Phone: 561-733-4004
  • Fax: 561-733-8182
Mailing address:
  • Phone: 561-733-4004
  • Fax: 561-733-8182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TY ERIKS
Title or Position: OWNER
Credential: DMD
Phone: 561-733-4004