Healthcare Provider Details

I. General information

NPI: 1861359994
Provider Name (Legal Business Name): DENTAL SLEEP CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PIDGEON HILL DR STE 103
STERLING VA
20165-6180
US

IV. Provider business mailing address

41382 RASPBERRY DR
LEESBURG VA
20176-7826
US

V. Phone/Fax

Practice location:
  • Phone: 703-651-6620
  • Fax:
Mailing address:
  • Phone: 703-651-6620
  • 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 Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARYAM AHMED
Title or Position: OWNER
Credential:
Phone: 703-651-6620