| Sleep Well Ohio Llc | |
|
405 Rothrock Rd Ste 203 Copley OH 44321-3145 | |
| (330) 807-3404 | |
| Not Available |
| Full Name | Sleep Well Ohio Llc |
|---|---|
| Speciality | Dentist |
| Location | 405 Rothrock Rd Ste 203, Copley, Ohio |
| Authorized Official Name and Position | Disha Hadi Pennington (DENTIST/OWNER) |
| Authorized Official Contact | 3308073404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Well Ohio Llc 405 Rothrock Rd Ste 203 Copley OH 44321-3145 Ph: (330) 807-3404 | Sleep Well Ohio Llc 405 Rothrock Rd Ste 203 Copley OH 44321-3145 Ph: (330) 807-3404 |
| NPI Number | 1174216147 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 2860841129 |
|---|---|
| Medicare Enrollment ID | O20231212001454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174216147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Disha Hadi Pennington Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Rothrock Rd, Suite 203, Copley, OH 44321 Phone: 330-668-9830 Fax: 330-668-9850 |