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: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About ALEXANDER ANTIPOV INC

This page provides the complete NPI Profile along with additional information for Alexander Antipov 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 1245553924 assigned on March 2010. The practitioner's primary taxonomy code is 1223S0112X with license number 50724 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Tia Marie Bycroft (Manager)

NPI
1245553924 Verify this NPI
Provider Name
ALEXANDER ANTIPOV INC
Entity Type
Organization
Location Address
927 RESERVE DR SUITE A ROSEVILLE, CA 95678
Location Phone
(916) 783-2110
Mailing Address
927 RESERVE DR SUITE A ROSEVILLE, CA 95678
Mailing Phone
(916) 783-2110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2010
Last Update Date
03-09-2010
Code Navigator

A dentist like Alexander Antipov 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
License No.
50724
License State
CA
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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MRS. TIA MARIE BYCROFT

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

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Dental)
927 RESERVE DR
ROSEVILLE, CA 95678

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245553924, enumerated as an "organization" on March 09, 2010.

The provider is located at 927 RESERVE DR SUITE A ROSEVILLE, CA 95678 and the phone number is (916) 783-2110.

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