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Contact Information

SAGE M HUMPHRIES, D.D.S., M.S.
725 W LA VETA AVE STE 120
ORANGE, CA92868-4445
 Phone: 714-997-5961
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for SAGE M HUMPHRIES · (Male)

NPI Number 1710103486
Status Active
Credentials D.D.S., M.S.
Entity Individual
Enumeration date 04/18/2007
Last updated 11/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 53072
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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