Organization Active NPI

Sleep Well Dental Center PLC

  • Durable Medical Equipment & Medical Supplies
  • Fenton, MI
National Provider Identifier
1285462168
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SLEEP WELL DENTAL CENTER PLC
Practice address
2325 W Shiawassee Ave Ste 101
Fenton, MI 48430-1792
Phone
(810) 964-3521
NPI assigned
Jul 23, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shana Dorland, DDSNPI 1861871436
Title
President
Phone
(810) 964-3521

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2325 W Shiawassee Ave Ste 101
Fenton, MI 48430-1792

Mailing address

3379 Lahring Rd
Linden, MI 48451-9434
Phone (810) 964-3521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424001365 MI DME Supplier - Oral Surgery - Dentist 5294251070 Practice locations: Fenton, MI

National Provider Directory

National Provider Directory
Tax ID family
Sleep Well Dental Center PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17100 Silver Pkwy
Ste A
Fenton, MI 48430
Phone (810) 714-1600

2325 W Shiawassee Ave
Ste 101
Fenton, MI 48430
Phone (810) 964-3521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1285462168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 LAHRING RD",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519434",
            "telephone_number": "810-964-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W SHIAWASSEE AVE STE 101",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301792",
            "telephone_number": "810-964-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WELL DENTAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DORLAND",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-964-3521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.