Healthcare Provider Details

I. General information

NPI: 1801723861
Provider Name (Legal Business Name): ERIC S. MUFF, D.D.S., A PROFESSIONAL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12065 PERSIMMON TER
AUBURN CA
95603-3853
US

IV. Provider business mailing address

12065 PERSIMMON TER
AUBURN CA
95603-3853
US

V. Phone/Fax

Practice location:
  • Phone: 530-823-9136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ERIC MUFF
Title or Position: PRESIDENT
Credential: DDS
Phone: 530-823-9136