| Dr Pheonix Ellis Sinclair, DDS | |
|
4140 Mother Lode Dr, Suite 112, Shingle Springs, CA 95682-8038 | |
| (530) 672-8059 | |
| (530) 672-2111 |
| Full Name | Dr Pheonix Ellis Sinclair |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4140 Mother Lode Dr, Shingle Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952450686 | NPI | - | NPPES |
| THP70630F | Medicaid | CA | |
| D25841 | Other | CA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D25841 (California) | Primary |
| Mailing Address | Practice 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 |
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 |