Organization Name: | SAGE M. HUMPHRIES, DDS., MS., INC. |
NPI Number: | 1457638629 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAGE M HUMPHRIES (OWNER/PRESIDENT) |
Mailing Address: | 18000 Pioneer Blvd Ste 207 Artesia |
State: | CA US |
Postal Code: | 907013976 |
Phone Number: | 5628601333 |
Fax Number: | 5628602833 |
NPI Enumeration Date: | 11/15/2011 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | 53072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |