Individual provider · Type 1 NPI
Jesse Michael Fa, D.D.S
Oral and Maxillofacial Surgery (Dentist) · Brentwood, CA
Practice location
2201 Balfour Rd Ste E
Brentwood, CA 94513-4927
Fax (925) 308-7910
Mailing address
317 Windmill Canyon Pl
Clayton, CA 94517-1904
Other practice locations
- 2390 Country Hills Dr Ste 103, Antioch, CA 94509-7437 · (925) 757-2217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 55360 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Brentwood
About NPI 1629291091
Jesse Michael Fa, D.D.S's National Provider Identifier is 1629291091, issued on Apr 11, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Brentwood, CA. The record was last updated on Apr 8, 2020.