DR. IMMANUEL UGONNIA SELASSIE I
NPI 1053601039
Dentist in Sacramento, CA

Q: What is Immanuel Selassie I's NPI number?

The NPI number for Immanuel Selassie I is 1053601039. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Q: What is Immanuel Selassie I's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 12, 2011

2430 FAIR OAKS BLVD (APT 120), SACRAMENTO, CA 95825(206) 384-6915 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Immanuel Ugonnia Selassie I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IMMANUEL UGONNIA SELASSIE I (NPI 1053601039) is an individual dentist in Sacramento, California, licensed in California (56829) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1053601039

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. IMMANUEL UGONNIA SELASSIE I

Location Address2430 FAIR OAKS BLVD (APT 120)Sacramento, CA 95825-5129

Mailing Address2322 Fruitvale AveOakland, CA 94601-2534 · (510) 520-4327

Phone(206) 384-6915

Sole ProprietorYes

Enumeration DateApril 12, 2011

Last NPPES UpdateFebruary 28, 2014

✔ NPI 1053601039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 56829

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2430 FAIR OAKS BLVD (APT 120), Sacramento, CA 95825

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immanuel Selassie I's NPI number?

The NPI number for Immanuel Selassie I is 1053601039. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Immanuel Selassie I located?

Immanuel Selassie I practices at 2430 Fair Oaks Blvd (apt 120), Sacramento, CA 95825. The listed phone number is (206) 384-6915.

What is Immanuel Selassie I's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Immanuel Selassie I was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.