Dr Pheonix Ellis Sinclair, DDS - Dentist in Shingle Springs, CA

Dr Pheonix Ellis Sinclair, DDS is a Dentist - General Practice based in Shingle Springs, California. Dr Pheonix Ellis Sinclair is licensed to practice in California (license number D25841) and his current practice location is 4140 Mother Lode Dr, Suite 112, Shingle Springs, California. He can be reached at his office (for appointments etc.) via phone at (530) 672-8059.

NPI number for Dr Pheonix Ellis Sinclair is 1952450686 and his current mailing address is 3335 Rolls Dr, Cameron Park, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952450686.

Contact Information

Dr Pheonix Ellis Sinclair, DDS
4140 Mother Lode Dr, Suite 112,
Shingle Springs, CA 95682-8038
(530) 672-8059
(530) 672-2111



Healthcare Provider's Profile

Full NameDr Pheonix Ellis Sinclair
GenderMale
SpecialityDentist - General Practice
Location4140 Mother Lode Dr, Shingle Springs, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952450686
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Pheonix Ellis Sinclair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952450686NPI-NPPES
THP70630FMedicaidCA
D25841OtherCADENTAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D25841 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pheonix Ellis Sinclair is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pheonix Ellis Sinclair, DDS
3335 Rolls Dr,
Cameron Park, CA 95682-9246

Ph: (530) 676-7197
Dr Pheonix Ellis Sinclair, DDS
4140 Mother Lode Dr, Suite 112,
Shingle Springs, CA 95682-8038

Ph: (530) 672-8059

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› Verified 4 days ago


Dentist in Shingle Springs, CA

Erik M Matson, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3591 Vista Grande Dr, Shingle Springs, CA 95682
Phone: 619-920-4696    
Donald William Stoneburner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4140 Mother Lode Dr, Suite 112, Shingle Springs, CA 95682
Phone: 530-672-8059    Fax: 530-672-2111

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