# PROGRESSIVE SLEEP & WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629426507
- **Authorized official:** MRS. JENNIFER EILEEN RICHEY (BILLING/FINANCIAL MANAGER)
- **Authorized official phone:** (480) 507-1993

## Contact information

- **Practice address:** 3303 E BASELINE RD STE 105, GILBERT, AZ 85234-2739
- **Practice address phone:** (480) 507-1993
- **Practice address fax:** (480) 507-3876
- **Mailing address:** 3303 E BASELINE RD STE 105, GILBERT, AZ 85234-2739
- **Mailing address phone:** (480) 507-1993
- **Mailing address fax:** (480) 507-3876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4682 | AZ | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/01/2016
