Healthcare Provider Details

I. General information

NPI: 1467106724
Provider Name (Legal Business Name): SOUND SLEEP DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8941 S 700 E FL 2
SANDY UT
84070-2400
US

IV. Provider business mailing address

8941 S 700 E FL 2
SANDY UT
84070-2400
US

V. Phone/Fax

Practice location:
  • Phone: 801-642-0908
  • Fax: 801-396-7066
Mailing address:
  • Phone: 801-642-0908
  • Fax: 801-396-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: ISAAC BUTLER
Title or Position: PRESIDENT
Credential:
Phone: 801-867-6753