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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

NPI # 1710103486
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/18/2007
Last updated 11/15/2011 - About 15 years ago
Identifiers
CA License # 53072
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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