MEDICARE: EASY SLEEP DENTAL PC

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

General Provider Information

NPI Number	:	1417809138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASY SLEEP DENTAL PC

Provider Business Mailing Address
First Line	:	5790 CASCADE TRL
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-9500
Country	:	US
Telephone Number	:	678-200-4922
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 MCEVER RD
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30504-3938
Country	:	US
Telephone Number	:	678-200-4922
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT MATTHEW DUNFORD
Credential	:	DMD
Telephone Number	:	678-200-4922

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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