Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAGE MONROE HUMPHRIES, D.D.S., M.S.
Active Sole ProprietorPreferred Provider Organization · ORANGE, CA
Registration Details
- NPI Number
- 1710103486
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2007 (19.011757277634 yrs)
- Last Updated
- Nov 15, 2011
- Licenses
-
53072 (CA)53072 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
725 W LA VETA AVE STE 120ORANGE, CA, 928684445Browse CA providers · Browse ZIP 92868
- Phone
- 7149975961
- Primary Specialty
-
Preferred Provider Organization
305R00000X
- Additional Specialty
- Preferred Provider Organization
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.