A PROFESSIONAL DENTAL CORP.
NPI 1639174279
Dentist - Periodontics in Antioch, CA

Active since June 20, 2005
3505 LONE TREE WAY, STE 7, ANTIOCH, CA 94509(925) 756-7884(925) 756-7894 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A Professional Dental Corp. NPPES

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

A PROFESSIONAL DENTAL CORP. (NPI 1639174279), doing business as A Nancy Drumov - Dubuk, Dds, is a healthcare organization registered as a periodontics in Antioch, California and active in the NPI registry since June 2005. The organization lists Kelly Ann Butti, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639174279
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameA PROFESSIONAL DENTAL CORP.
Location Address3505 LONE TREE WAY, STE 7Antioch, CA 94509-6067
Mailing Address3505 Lone Tree Way, Ste 7Antioch, CA 94509-6067 · (925) 756-7884 · Fax (925) 756-7894
Fax(925) 756-7894
Organization SubpartNo
Authorized OfficialKelly Ann ButtiOffice Manager · (925) 756-7884
Enumeration DateJune 20, 2005
Last NPPES UpdateJune 13, 2008
NPI 1639174279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 40072
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3505 LONE TREE WAY, Antioch, CA 94509

Other Names 1

Former Legal Business NameA Nancy Drumov - Dubuk, Dds

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 4

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

Ophthalmology
3505 LONE TREE WAY, SUITE 6
ANTIOCH, CA 94509
Nurse Practitioner (Family)
3505 LONE TREE WAY
ANTIOCH, CA 94509
Internal Medicine
3505 LONE TREE WAY, STE #2
ANTIOCH, CA 94509
Dentist (Periodontics)
3505 LONE TREE WAY, 7
ANTIOCH, CA 94509

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 A Professional Dental Corp.'s NPI number?

The NPI number for A Professional Dental Corp. is 1639174279. It was assigned to this organization in the NPPES registry on June 20, 2005. The provider was formerly known as A Nancy Drumov - Dubuk, Dds.

Where is A Professional Dental Corp. located?

A Professional Dental Corp. is located at 3505 Lone Tree Way Ste 7, Antioch, CA 94509. The listed phone number is (925) 756-7884.

What is A Professional Dental Corp.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for A Professional Dental Corp. was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.