# SIERRA FOOTHILLS ORAL & MAXILLOFACIAL SURGERY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093044927
- **Authorized official:** BARBARA CURTIS (BUSINESS MANAGER)
- **Authorized official phone:** (707) 279-2193

## Contact information

- **Practice address:** 2350 PROFESSIONAL DRIVE, SUITE 400, ROSEVILLE, CA 95661-7747
- **Practice address phone:** (916) 786-3930
- **Practice address fax:** (916) 786-2435
- **Mailing address:** 2350 PROFESSIONAL DRIVE, SUITE 400, ROSEVILLE, CA 95661-7747
- **Mailing address phone:** (916) 786-3930
- **Mailing address fax:** (916) 786-2435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 37070 | WI | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 58195 | IN | — |

## Other

- **Enumeration date:** 12/24/2009
- **Last updated:** 12/24/2009