MEDICARE: SLEEP ENVY PLLC

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	122300000X	Dentist
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1558094698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP ENVY PLLC

Provider Business Mailing Address
First Line	:	8490 S EASTERN AVE STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8490 S EASTERN AVE STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2806
Country	:	US
Telephone Number	:	702-497-9386
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERYN ENCE
Credential	:	DMD
Telephone Number	:	725-344-1888

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	02/08/2024

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