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DR. PHEONIX ELLIS SINCLAIR D.D.S.
NPI 1952450686
Dentist - General Practice in Shingle Springs, CA

Active since January 10, 2007
4140 MOTHER LODE DR, SUITE 112, SHINGLE SPRINGS, CA 95682(530) 672-8059(530) 672-2111 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pheonix Ellis Sinclair D.d.s. NPPES

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

DR. PHEONIX ELLIS SINCLAIR D.D.S. (NPI 1952450686) is an individual general practice provider in Shingle Springs, California, licensed in California (D25841) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1952450686
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHEONIX ELLIS SINCLAIRCredential: D.D.S.
Location Address4140 MOTHER LODE DR, SUITE 112Shingle Springs, CA 95682-8038
Mailing Address3335 Rolls DrCameron Park, CA 95682-9246 · (530) 676-7197 · Fax (530) 676-7198
Phone(530) 672-8059
Fax(530) 672-2111
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1952450686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · D25841
Definition
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.
4140 MOTHER LODE DR, Shingle Springs, CA 95682
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Other Identifiers 2

MedicaidTHP70630FCA
OtherD25841CA · Dental

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES EDWARD SHIELDS D.C.
Chiropractor
4140 MOTHER LODE DR, SUITE 112
SHINGLE SPRINGS, CA 95682
El Dorado County (530) 672-8059
DONALD WILLIAM STONEBURNER D.D.S.
Dentist (General Practice)
4140 MOTHER LODE DR, SUITE 112
SHINGLE SPRINGS, CA 95682
El Dorado County (530) 672-8059
ROSE E HOLLOW HORN BEAR M.A., MFT INTERN
Marriage & Family Therapist
4140 MOTHER LODE DR, 104
SHINGLE SPRINGS, CA 95682
El Dorado County (530) 672-8059
MR. CHRIS E. ANDREWS D.C.
Chiropractor
4140 MOTHER LODE DR, SUITE 116
SHINGLE SPRINGS, CA 95682
El Dorado County (530) 677-5640

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 Pheonix Sinclair's NPI number?

The NPI number for Pheonix Sinclair is 1952450686. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Pheonix Sinclair located?

Pheonix Sinclair practices at 4140 Mother Lode Dr Suite 112, Shingle Springs, CA 95682. The listed phone number is (530) 672-8059.

What is Pheonix Sinclair's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Pheonix Sinclair was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.