Individual provider · Type 1 NPI

Immanuel Ugonnia Selassie I

Dentist · Sacramento, CA

NPI number 1053601039 Active

Practice location

2430 Fair Oaks Blvd (apt 120)
Sacramento, CA 95825-5129

Mailing address

2322 Fruitvale Ave
Oakland, CA 94601-2534

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X56829 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053601039

Immanuel Ugonnia Selassie I's National Provider Identifier is 1053601039, issued on Apr 12, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Sacramento, CA. The record was last updated on Feb 28, 2014.