MEDICARE: SLEEPMATTERS, PLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1356094924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEPMATTERS, PLC

Provider Business Mailing Address
First Line	:	10134 N ORACLE RD STE 170
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-7612
Country	:	US
Telephone Number	:	520-848-3889
Fax Number	:

Provider Business Practice Location Address
First Line	:	10134 N ORACLE RD STE 170
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-7612
Country	:	US
Telephone Number	:	520-848-3889
Fax Number	:	520-989-3134

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES CLINTON GOODWIN
Credential	:	DMD
Telephone Number	:	520-848-3889

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	02/02/2022

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