Organization
PREMIER SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MACFARLANE (OWNER)
(801) 930-5138
Entity
Organization
Contact information
Practice address
7138 S HIGHLAND DR STE 215, SALT LAKE CITY, UT 84121-3784
(801) 821-2596
(801) 821-2598
Mailing address
4161 N CRESTVIEW AVE, PROVO, UT 84604-4716
(801) 930-5138
(801) 821-2598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7090950001
MEDICARE
UT
Enumeration date
06/22/2022
Last updated
07/20/2022
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