# SACRAMENTO ORAL SURGERY

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

## Provider details

- **NPI number:** 1639383672
- **Authorized official:** DR. BRIAN L ROYSE DDS (PARTNER)
- **Authorized official phone:** (916) 448-4500

## Contact information

- **Practice address:** 2503 K STREET, SACRAMENTO, CA 95816
- **Practice address phone:** (916) 448-4500
- **Mailing address:** 2503 K ST, SACRAMENTO, CA 95816-5101
- **Mailing address phone:** (916) 448-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020