MEDICARE: SLEEP WELL EAST TENNESSEE 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	:	1912841289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP WELL EAST TENNESSEE PLLC

Provider Business Mailing Address
First Line	:	200 N A ST
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-2401
Country	:	US
Telephone Number	:	865-351-0164
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N A ST
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-2401
Country	:	US
Telephone Number	:	865-351-0164
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	CHRISTOPHER DAVID LEE
Credential	:
Telephone Number	:	865-314-8204

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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