Active NPI
Deep Sleep Dental Solutions, LLC
- General Practice Dentistry
- Deland, FL
National Provider Identifier
1164044889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DEEP SLEEP DENTAL SOLUTIONS, LLC
- Practice address
- 111 S Dexter Ave
Deland, FL 32720-5165 - Phone
- (386) 734-0482
- Fax
- (386) 738-3768
- NPI assigned
- May 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Francis Goodreau, DDS
- Title
- President/Dentist
- Phone
- (386) 734-0482
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
111 S Dexter Ave
Deland, FL 32720-5165
Mailing address
3550 Bareback TRL
Ormond Beach, FL 32174-7953
Phone (386) 677-7367
Other names 1
- Deep Sleep Dental Solutions, LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DeLand | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
111 S Dexter Ave
Deland, FL 32720
Phone (386) 734-0482
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Deland, FL
- NPI 1285809285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589500800000",
"number": "1164044889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 BAREBACK TRL",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321747953",
"telephone_number": "386-677-7367",
"fax_number": "386-738-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S DEXTER AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327205165",
"telephone_number": "386-734-0482",
"fax_number": "386-738-3768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEP SLEEP DENTAL SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A",
"authorized_official_last_name": "GOODREAU",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT/DENTIST",
"authorized_official_telephone_number": "386-734-0482",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "DeLand",
"affiliation": "N",
"endpointDescription": "Office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "DeLand",
"address_1": "111 S Dexter Ave",
"city": "Deland",
"state": "FL",
"country_code": "US",
"postal_code": "327205165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Deep Sleep Dental Solutions, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.