MEDICARE: SLEEP BREATHE DREAM 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	332BC3200X	Customized Equipment (DME)
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1336916253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP BREATHE DREAM LLC

Provider Business Mailing Address
First Line	:	1600 CLEAR LAKE CITY BLVD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8077
Country	:	US
Telephone Number	:	832-425-7481
Fax Number	:	281-810-7915

Provider Business Practice Location Address
First Line	:	1600 CLEAR LAKE CITY BLVD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8077
Country	:	US
Telephone Number	:	832-425-7481
Fax Number	:	281-810-7915

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MEGHNA H DASSANI
Credential	:	DMD
Telephone Number	:	281-488-4617

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	02/06/2024

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