MEDICARE: PRESTON SHERRY SLEEP SOLUTIONS

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

General Provider Information

NPI Number	:	1639717523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTON SHERRY SLEEP SOLUTIONS

Provider Business Mailing Address
First Line	:	6134 SHERRY LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6301
Country	:	US
Telephone Number	:	214-691-7371
Fax Number	:

Provider Business Practice Location Address
First Line	:	6134 SHERRY LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6301
Country	:	US
Telephone Number	:	214-691-7371
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. ROBERT BECKMANN
Credential	:	DDS
Telephone Number	:	214-691-7371

Provider Enumeration Date	:	12/11/2019
Last Update Date	:	12/11/2019

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