Organization
SLEEP IDENTITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LYNN STAPLETON (FRONT OFFICE ASSISTANT)
(859) 287-2484
Entity
Organization
Contact information
Practice address
541 DARBY CREEK ROAD, STE 190, LEXINGTON, KY 40509
(859) 287-2484
(859) 287-2463
Mailing address
541 DARBY CREEK RD STE 190, LEXINGTON, KY 40509-2710
(859) 287-2484
(859) 287-2463
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9038
KY
Other
Enumeration date
07/14/2017
Last updated
07/21/2022
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