ALEXANDER V. ANTIPOV, D.D.S., INC.
NPI 1114533064
Dentist - Oral and Maxillofacial Surgery in Roseville, CA

Q: What is Alexander V. Antipov, D.D.S., Inc.'s NPI number?

The NPI number for Alexander V. Antipov, D.D.S., Inc. is 1114533064. It was assigned to this organization in the NPPES registry on September 16, 2020.

Q: What is Alexander V. Antipov, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since September 16, 2020

911 RESERVE DRIVE, SUITE 150, ROSEVILLE, CA 95678(916) 783-2110(916) 783-2111 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alexander V. Antipov, D.d.s., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER V. ANTIPOV, D.D.S., INC. (NPI 1114533064) is a healthcare organization registered as an oral and maxillofacial surgery in Roseville, California and active in the NPI registry since September 2020. The organization lists Alexander Antipov, Owner, as its authorized official.

NPPES Registry Identity

NPI1114533064

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameALEXANDER V. ANTIPOV, D.D.S., INC.

Location Address911 RESERVE DRIVE, SUITE 150Roseville, CA 95678

Mailing Address911 Reserve Drive, Suite 150Roseville, CA 95678 · (916) 783-2110 · Fax (916) 783-2111

Phone(916) 783-2110

Fax(916) 783-2111

Organization SubpartNo

Authorized OfficialAlexander AntipovOwner · (916) 783-2110

Enumeration DateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1114533064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in 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.

911 RESERVE DRIVE, SUITE 150, Roseville, CA 95678

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander V. Antipov, D.D.S., Inc.'s NPI number?

The NPI number for Alexander V. Antipov, D.D.S., Inc. is 1114533064. It was assigned to this organization in the NPPES registry on September 16, 2020.

Where is Alexander V. Antipov, D.D.S., Inc. located?

Alexander V. Antipov, D.D.S., Inc. is located at 911 Reserve Drive, Suite 150, Roseville, CA 95678. The listed phone number is (916) 783-2110.

What is Alexander V. Antipov, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Alexander V. Antipov, D.D.S., Inc. was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.