Basic Information
Provider Information
NPI: 1770049702
EntityType: 2
ReplacementNPI:  
OrganizationName: SWEET DREAMS SLEEP SERVICES, P.C
LastName:  
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Mailing Information
Address1: 2855 10TH ST STE B
Address2:  
City: GERING
State: NE
PostalCode: 693412202
CountryCode: US
TelephoneNumber: 4012413344
FaxNumber: 8884562467
Practice Location
Address1: 2855 10TH ST STE B
Address2:  
City: GERING
State: NE
PostalCode: 693412202
CountryCode: US
TelephoneNumber: 3086333000
FaxNumber: 3086333001
Other Information
ProviderEnumerationDate: 02/14/2019
LastUpdateDate: 07/28/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: MEYER
AuthorizedOfficialFirstName: BRITTANY
AuthorizedOfficialMiddleName: J.
AuthorizedOfficialTitleorPosition: MEDICAL DIRECTOR
AuthorizedOfficialTelephone: 3082250687
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate: 07/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QS1201X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine

No ID Information.


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