| Healthy Sleep Tulsa | |
|
1326 E 43rd Ct Ste 100 Tulsa OK 74105-4155 | |
| (918) 749-0303 | |
| (918) 749-0304 |
| Full Name | Healthy Sleep Tulsa |
|---|---|
| Speciality | Dentist |
| Location | 1326 E 43rd Ct Ste 100, Tulsa, Oklahoma |
| Authorized Official Name and Position | Lori Hare (OWNER PARTNER) |
| Authorized Official Contact | 9187490303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Sleep Tulsa 1326 E 43rd Ct Ste 100 Tulsa OK 74105-4154 Ph: (918) 749-0303 | Healthy Sleep Tulsa 1326 E 43rd Ct Ste 100 Tulsa OK 74105-4155 Ph: (918) 749-0303 |
| NPI Number | 1104272913 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 0042506164 |
|---|---|
| Medicare Enrollment ID | O20160915000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104272913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5123 (Oklahoma) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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