SACRAMENTO ORAL SURGERY (NPI# 1639383672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639383672 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO ORAL SURGERY |
| Practice Address |
2503 K Street Sacramento CA 95816 |
| Mailing Address |
2503 K St Sacramento CA 95816-5101 |
| Practice Telephone | 9164484500 |
| Mailing Telephone | 9164484500 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIAN L ROYSE (PARTNER) |
| Authorized Official Telephone | 9164484500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
2503 K STREET |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588197156 | Alex Antipov Dental Corp | Dentist | 8759 Center Pkwy, Sacramento, CA 95823-7682 | 2017-04-10 |
| 1376961334 | Greggory Bryan Irving | Dentist | 1110 Corporate Way # 200, Sacramento, CA 95831-3875 | 2014-04-06 |
| 1225151426 | Theodore W Klein | Dentist | 7229 S Land Park Dr, Sacramento, CA 95831-3611 | 2007-04-10 |
| 1417002783 | Brian Lee Royse | Dentist | 2503 K St, Sacramento, CA 95816-5101 | 2007-01-24 |
| 1982752358 | Franklin Anthony Niggebrugge | Dentist | 1737 Professional Dr, Sacramento, CA 95825-2104 | 2007-01-08 |
| 1407903131 | Grace Unehae Lee | Dentist | 3604 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7256 | 2007-01-04 |
| 1962561340 | Reza Fouladi | Dentist | 7551 Timberlake Way Ste 120, Sacramento, CA 95823-5421 | 2006-12-08 |
| 1013075308 | Michael Steven Phelps | Dentist | 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 | 2006-12-05 |
| 1831121250 | Mark Allan Weiner | Dentist | 2525 K St Ste 101, Sacramento, CA 95816-5114 | 2006-07-07 |
| 1851320584 | Jagdev Singh Heir | Dentist | 4170 Truxel Rd, Suite C, Sacramento, CA 95834-3758 | 2006-07-03 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.