Individual provider · Type 1 NPI
Sage Monroe Humphries, DDS, M.S.
Preferred Provider Organization · Orange, CA
NPI number
1710103486
Active
Practice location
725 W La Veta Ave Ste 120
Orange, CA 92868-4445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 53072 (CA) |
| Preferred Provider Organization Primary | 305R00000X | 53072 (CA) |
Preferred Provider Organization: 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.
About NPI 1710103486
Sage Monroe Humphries, DDS, M.S.'s National Provider Identifier is 1710103486, issued on Apr 18, 2007. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Orange, CA. The record was last updated on Nov 15, 2011.