Provider Demographics
NPI:1588113229
Name:SLEEP UTAH, LLC
Entity type:Organization
Organization Name:SLEEP UTAH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:R. JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGNESS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-372-7349
Mailing Address - Street 1:370 E 800 S STE B
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-6386
Mailing Address - Country:US
Mailing Address - Phone:801-960-9667
Mailing Address - Fax:801-284-1906
Practice Address - Street 1:370 E 800 S STE B
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-6386
Practice Address - Country:US
Practice Address - Phone:801-960-9667
Practice Address - Fax:801-284-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4936951 9921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty