1. Home
  2. Directory
  3. California
  4. Roseville
  5. Dentist
  6. NPI Profile

ALEXANDER ANTIPOV INC
NPI 1245553924
Dentist - Oral and Maxillofacial Surgery in Roseville, CA

Active since March 09, 2010
927 RESERVE DR, SUITE A, ROSEVILLE, CA 95678(916) 783-2110 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexander Antipov Inc NPPES

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

ALEXANDER ANTIPOV INC (NPI 1245553924) is a healthcare organization registered as an oral and maxillofacial surgery in Roseville, California and active in the NPI registry since March 2010. The organization lists Tia Marie Bycroft, Manager, as its authorized official.

NPPES Registry Identity

NPI1245553924
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameALEXANDER ANTIPOV INC
Location Address927 RESERVE DR, SUITE ARoseville, CA 95678
Mailing Address927 Reserve Dr, Suite ARoseville, CA 95678 · (916) 783-2110
Phone(916) 783-2110
Organization SubpartNo
Authorized OfficialTia Marie BycroftManager · (916) 783-2110
Enumeration DateMarch 9, 2010
✔ NPI 1245553924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 50724
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.
927 RESERVE DR, Roseville, CA 95678
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMURTHWAITE DDS PC
Clinic/Center (Dental)
927 RESERVE DR
ROSEVILLE, CA 95678
Placer County (916) 797-8511

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 Antipov Inc's NPI number?

The NPI number for Alexander Antipov Inc is 1245553924. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Alexander Antipov Inc located?

Alexander Antipov Inc is located at 927 Reserve Dr Suite A, Roseville, CA 95678. The listed phone number is (916) 783-2110.

What is Alexander Antipov 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 Antipov Inc was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.