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

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: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About ALEXANDER V. ANTIPOV, D.D.S., INC.

This page provides the complete NPI Profile along with additional information for Alexander V. Antipov, D.d.s., Inc., a provider established in Roseville, California operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1114533064 assigned on September 2020. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Alexander V. Antipov, D.d.s., Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Alexander Antipov Dds (Owner)

NPI
1114533064 Verify this NPI
Provider Name
ALEXANDER V. ANTIPOV, D.D.S., INC.
Entity Type
Organization
Location Address
911 RESERVE DRIVE, SUITE 150 ROSEVILLE, CA 95678
Location Phone
(916) 783-2110
Location Fax
(916) 783-2111
Mailing Address
911 RESERVE DRIVE, SUITE 150 ROSEVILLE, CA 95678
Mailing Phone
(916) 783-2110
Mailing Fax
(916) 783-2111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2020
Last Update Date
09-16-2020
Code Navigator

A dentist like Alexander V. Antipov, D.d.s., Inc. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEXANDER ANTIPOV DDS

Authorized Official Title
OWNER
Authorized Official Phone
(916) 783-2110

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114533064, enumerated as an "organization" on September 16, 2020.

The provider is located at 911 RESERVE DRIVE, SUITE 150 ROSEVILLE, CA 95678 and the phone number is (916) 783-2110.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.