Vixiane Sengsouvanh, DDS is a
Dentist based in Rancho Murieta, California. Vixiane Sengsouvanh is licensed to practice in California (license number 48994) and his current practice location is
7277 Lone Pine Dr., Ste. C 105, Rancho Murieta, California. He can be reached at his office (for appointments etc.) via phone at
(916) 354-2637.
NPI number for Vixiane Sengsouvanh is 1568664498 and his current mailing address is Po Box 1451, Rancho Murieta, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568664498.
Healthcare Provider's Profile
| Full Name | Vixiane Sengsouvanh |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 7277 Lone Pine Dr., Rancho Murieta, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568664498
- Provider Enumeration Date: 06/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Vixiane Sengsouvanh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568664498 | NPI | - | NPPES |
| 48994 | Other | CA | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 48994 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vixiane Sengsouvanh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vixiane Sengsouvanh, DDS
Po Box 1451,
Rancho Murieta, CA 95683-1451
Ph: (916) 354-2637 | Vixiane Sengsouvanh, DDS
7277 Lone Pine Dr., Ste. C 105,
Rancho Murieta, CA 95683
Ph: (916) 354-2637 |
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