GALLERIA ORAL AND MAXILLOFACIAL SURGERY
NPI 1407279177
Dentist - Oral and Maxillofacial Surgery in Roseville, CA

Q: What is Galleria Oral And Maxillofacial Surgery's specialty?

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

Active since January 30, 2014

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

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Galleria Oral And Maxillofacial Surgery NPPES

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

GALLERIA ORAL AND MAXILLOFACIAL SURGERY (NPI 1407279177), doing business as Alexander O. Antipov, D.d.s., Inc, is a healthcare organization registered as an oral and maxillofacial surgery in Roseville, California and active in the NPI registry since January 2014. The organization lists Yelena Myalik, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407279177

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameGALLERIA ORAL AND MAXILLOFACIAL SURGERY

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 OfficialYelena MyalikOffice Manager · (916) 783-2110

Enumeration DateJanuary 30, 2014

✔ NPI 1407279177 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, Roseville, CA 95678

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Other Names 1

Former Legal Business NameAlexander O. Antipov, D.d.s., Inc

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.

DR. ALEXANDER ANTIPOV DDS

Dentist (Oral and Maxillofacial Surgery)

911 RESERVE DRIVE, SUITE 150
ROSEVILLE, CA 95678

Placer County (916) 783-2110

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 Galleria Oral And Maxillofacial Surgery's NPI number?

The NPI number for Galleria Oral And Maxillofacial Surgery is 1407279177. It was assigned to this organization in the NPPES registry on January 30, 2014. The provider was formerly known as Alexander O. Antipov, D.D.S., Inc.

Where is Galleria Oral And Maxillofacial Surgery located?

Galleria Oral And Maxillofacial Surgery is located at 911 Reserve Drive Suite #150, Roseville, CA 95678. The listed phone number is (916) 783-2110.

What is Galleria Oral And Maxillofacial Surgery'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 Galleria Oral And Maxillofacial Surgery was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.