Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952450686 Individual Practitioner Male Practitioner

Dr. Pheonix Ellis Sinclair , DDS

Dentist - General Practice • Shingle Springs, CA

Professional Overview & Biography Verified Profile Summary

Dr. Pheonix Sinclair, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shingle Springs, CA. Practice services are available at 4140 MOTHER LODE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4140 Mother Lode Dr
Suite 112

Shingle Springs, CA 956828038

Telephone 5306728059
Fax 5306722111

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shingle Springs, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Shingle Springs, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA D25841

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
THP70630F (CA)
Commercial Insurance / Payer ID Dental
D25841 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1235288366

Doctor of Chiropractic

Dr. Donald Stoneburner , DDS

Dentist - General Practice

NPI 1336299635

Doctor of Dental Surgery

Rose Hollow Horn Bear , MA, MFT INTERN

Marriage & Family Therapist

NPI 1457431660

Master of Arts, MFTINTERN

Dr. David Sprenger , MD

Psychiatry & Neurology - Psychiatry

NPI 1528109741

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4140 MOTHER LODE DR, SUITE 112, SHINGLE SPRINGS, CA 956828038 (Tel: 5306728059)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3335 ROLLS DR, CAMERON PARK, CA 956829246 (Tel: 5306767197)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as PHEONIX SINCLAIR, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D25841 in CA)

🟢
Initial NPI Registration & Enumeration January 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952450686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

3335 Rolls Dr

Cameron Park, CA 956829246

Phone: 5306767197

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.