Michael Steven Phelps
Oral and Maxillofacial Surgeon
4350 Marconi Avenue Suite 200
Sacramento
, California 95821
Michael Steven Phelps
Oral and Maxillofacial Surgeon
4350 Marconi Avenue Suite 200
Sacramento
, California 95821
(916) 483-4141
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Michael Steven Phelps
- 4350 Marconi Avenue Suite 200
- Sacramento, CA
- Zip : 95821
- Fax : (916) 483-4141
- Phone : (916) 483-4379
Second Address
- Michael Steven Phelps
- 4350 Marconi Avenue Suite 200
- Sacramento, CA
- Zip : 95821
- Fax : (916) 483-4141
- Phone : (916) 483-4379
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 34403 | CA |
National Provider Identifier
| NPI | 1013075308 |
|---|---|
| Provider Name | Michael Steven Phelps |
| First Address | Sacramento, CA 95821 |
| Second Address | Sacramento, CA 95821 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U22957 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.