MEDICARE: SLEEP APNEA CARE 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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1619697588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP APNEA CARE PLLC

Provider Business Mailing Address
First Line	:	7104 S SHERIDAN RD STE 8
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2765
Country	:	US
Telephone Number	:	918-392-7654
Fax Number	:	918-518-5761

Provider Business Practice Location Address
First Line	:	7104 S SHERIDAN RD STE 8
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2765
Country	:	US
Telephone Number	:	918-392-7654
Fax Number	:	918-518-5761

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CARRIE SESSOM
Credential	:	DDS
Telephone Number	:	918-392-7654

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	08/31/2022

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