Healthcare Provider Details

I. General information

NPI: 1417809138
Provider Name (Legal Business Name): EASY SLEEP DENTAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 MCEVER RD
GAINESVILLE GA
30504-3938
US

IV. Provider business mailing address

5790 CASCADE TRL
CUMMING GA
30040-9500
US

V. Phone/Fax

Practice location:
  • Phone: 678-200-4922
  • Fax:
Mailing address:
  • Phone: 678-200-4922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBERT MATTHEW DUNFORD
Title or Position: OWNER
Credential: DMD
Phone: 678-200-4922