Dr. Immanuel Ugonnia Selassie I is a Sacramento, California based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Immanuel Ugonnia Selassie I is
56829 for Dentistry in California. His current practice location is
2430 Fair Oaks Blvd (apt 120), Sacramento. Patients can reach him at
206-384-6915.
Dr. Immanuel Ugonnia Selassie I is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Immanuel Ugonnia Selassie I speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Immanuel Ugonnia Selassie I |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2430 Fair Oaks Blvd (apt 120), Sacramento, California, 95825-5129 |
| Phone: | 206-384-6915 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1053601039 |
| NPI Enumeration Date: | 12 Apr, 2011 |
| NPI Last Update On: | 28 Feb, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Immanuel Ugonnia Selassie I are as mentioned below.
| License Number | Specialization | State | Status | |
| 56829 | Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2322 Fruitvale Ave, Oakland, California |
| Zip: | 94601-2534 |
| Phone Number: | 510-520-4327 |
Patients can reach Dr. Immanuel Ugonnia Selassie I at
2430 Fair Oaks Blvd (apt 120), Sacramento, California or can
call to book an appointment on 206-384-6915.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.