Individual provider · Type 1 NPI

Alexander Antipov, DDS

Oral and Maxillofacial Surgery (Dentist) · Roseville, CA

NPI number 1750553889 Active

Practice location

911 Reserve Drive, Suite 150
Roseville, CA 95678-1383

Call (916) 783-2110 Map

Fax (916) 783-2111

Mailing address

911 Reserve Dr, Suite 150
Roseville, CA 95678-1340

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X50724 (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.

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About NPI 1750553889

Alexander Antipov, DDS's National Provider Identifier is 1750553889, issued on Mar 28, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Roseville, CA. The record was last updated on Mar 19, 2014.