Healthcare Provider Details

I. General information

NPI: 1528861630
Provider Name (Legal Business Name): GOOD SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 PROVIDENCE HWY
EAST WALPOLE MA
02032-1524
US

IV. Provider business mailing address

90 PROVIDENCE HWY
EAST WALPOLE MA
02032-1524
US

V. Phone/Fax

Practice location:
  • Phone: 508-668-1151
  • Fax: 617-977-8814
Mailing address:
  • Phone: 508-668-1151
  • Fax: 617-977-8814

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: VAMSI KALEPU
Title or Position: OWNER
Credential: DMD
Phone: 508-668-1151