Provider Demographics
NPI:1285256263
Name:MY SLEEP SOLUTION, PLLC
Entity type:Organization
Organization Name:MY SLEEP SOLUTION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:WHITLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-737-3606
Mailing Address - Street 1:8176 OLD DEXTER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0538
Mailing Address - Country:US
Mailing Address - Phone:901-737-3606
Mailing Address - Fax:
Practice Address - Street 1:8176 OLD DEXTER RD STE 106
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-0538
Practice Address - Country:US
Practice Address - Phone:901-737-3606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies