Provider Demographics
NPI:1073600318
Name:SACHS, NEIL F (DMD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:F
Last Name:SACHS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72780 COUNTRY CLUB DR STE 401
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4149
Mailing Address - Country:US
Mailing Address - Phone:605-785-1247
Mailing Address - Fax:760-862-0091
Practice Address - Street 1:72780 COUNTRY CLUB DR STE 401
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-578-5124
Practice Address - Fax:760-862-0091
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA517121223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU23747Medicare UPIN
CAU23747Medicare UPIN