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BLUE OAK ORAL SURGERY & DENTAL IMPLANT CENTER
NPI 1649689597
Dentist - Oral and Maxillofacial Surgery in Brentwood, CA

Active since August 05, 2014
2201 BALFOUR RD STE E, BRENTWOOD, CA 94513(925) 308-7908(925) 308-7910 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Oak Oral Surgery & Dental Implant Center NPPES

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

BLUE OAK ORAL SURGERY & DENTAL IMPLANT CENTER (NPI 1649689597) is a healthcare organization registered as an oral and maxillofacial surgery in Brentwood, California and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Antioch and lists Jesse Michael Fa, Owner, as its authorized official.

NPPES Registry Identity

NPI1649689597
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJESSE M. FA, DDS, INC
Location Address2201 BALFOUR RD STE EBrentwood, CA 94513-4927
Mailing Address2201 Balfour Rd Ste EBrentwood, CA 94513-4927 · (925) 308-7908 · Fax (925) 308-7910
Phone(925) 308-7908
Fax(925) 308-7910
Organization SubpartNo
Authorized OfficialJesse Michael FaOwner · (925) 757-2217
Enumeration DateAugust 5, 2014
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1649689597 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 · 55360
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.
2201 BALFOUR RD STE E, Brentwood, CA 94513
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Other Names 1

Doing Business AsBlue Oak Oral Surgery & Dental Implant Center

Secondary Practice Location 1

Location 12390 Country Hills Dr Ste 103Antioch, CA 94509-7437 · Phone (925) 757-2217 · Fax (925) 757-6417

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. JESSE MICHAEL FA D.D.S
Dentist (Oral and Maxillofacial Surgery)
2201 BALFOUR RD STE E
BRENTWOOD, CA 94513
Contra Costa County (925) 308-7908

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 Jesse M. Fa, Dds, Inc's NPI number?

The NPI number for Jesse M. Fa, Dds, Inc is 1649689597. It was assigned to this organization in the NPPES registry on August 5, 2014. The provider is doing business as Blue Oak Oral Surgery & Dental Implant Center.

Where is Jesse M. Fa, Dds, Inc located?

Jesse M. Fa, Dds, Inc is located at 2201 Balfour Rd Ste E, Brentwood, CA 94513. The listed phone number is (925) 308-7908.

What is Jesse M. Fa, Dds, 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 Jesse M. Fa, Dds, Inc was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.