MEDICARE: SLEEPCLEARNOW, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2726-15	WI

General Provider Information

NPI Number	:	1023470473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEPCLEARNOW, LLC

Provider Business Mailing Address
First Line	:	6070 N PORT WASHINGTON RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-4524
Country	:	US
Telephone Number	:	414-436-4297
Fax Number	:

Provider Business Practice Location Address
First Line	:	6070 N PORT WASHINGTON RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-4524
Country	:	US
Telephone Number	:	414-962-4100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL M SANDVICK
Credential	:	DDS
Telephone Number	:	414-436-4297

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	12/26/2023

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