Provider Demographics
NPI:1548779077
Name:FUHS, MACY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:MACY
Middle Name:E
Last Name:FUHS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 UPTON CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-9417
Mailing Address - Country:US
Mailing Address - Phone:916-205-5670
Mailing Address - Fax:
Practice Address - Street 1:740 SPAANS DR STE 1
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-8612
Practice Address - Country:US
Practice Address - Phone:209-745-2929
Practice Address - Fax:209-745-2929
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1014781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice