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Contact Information

MICHAEL S PHELPS, DDS
4350 MARCONI AVENUE
SUITE 200
SACRAMENTO, CA95821
 Phone: 916-483-4379
 Fax: 916-483-4141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for MICHAEL S PHELPS · (Male)

NPI # 1013075308
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/05/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 34403
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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