Healthcare Provider Details

I. General information

NPI: 1477415826
Provider Name (Legal Business Name): DREAMLINE DENTAL SLEEP CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280 NW 87TH TER STE 210
KANSAS CITY MO
64153-3706
US

IV. Provider business mailing address

16455 WILDHORSE LAKE BLVD APT 143
CHESTERFIELD MO
63005-4248
US

V. Phone/Fax

Practice location:
  • Phone: 660-358-1277
  • Fax:
Mailing address:
  • Phone: 844-941-0465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SYEDA MARYAM ZEHRA
Title or Position: DENTIST
Credential: DMD
Phone: 844-941-0465