ALEX ANTIPOV DENTAL CORP (NPI# 1588197156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588197156 |
| Entity Type | Organization |
| Organization Name | ALEX ANTIPOV DENTAL CORP |
| Practice Address |
8759 Center Pkwy Sacramento CA 95823-7682 |
| Mailing Address |
Po Box 340129 Sacramento CA 95834-0129 |
| Practice Telephone | 9164199939 |
| Mailing Telephone | 9164199939 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | DR. ALEX ANTIPOV (OWNER/DENTIST) |
| Authorized Official Telephone | 9164199939 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
50724 | CA | Dental Providers |
| Street Address |
8759 CENTER PKWY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-7682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930111 | Dr.inna Shturman, A Dental Corporation | Dentist | 8759 Center Pkwy, Sacramento, CA 95823-7682 | 2019-03-04 |
| 1497233076 | Robert Noll Jr. | Dentist | 8759 Center Pkwy, Sacramento, CA 95823-7682 | 2018-08-05 |
| 1912497868 | Ayat Elsherif | Dentist | 8759 Center Pkwy, Sacramento, CA 95823-7682 | 2018-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376961334 | Greggory Bryan Irving | Dentist | 1110 Corporate Way # 200, Sacramento, CA 95831-3875 | 2014-04-06 |
| 1639383672 | Sacramento Oral Surgery | Dentist | 2503 K Street, Sacramento, CA 95816 | 2007-05-09 |
| 1225151426 | Theodore W Klein | Dentist | 7229 S Land Park Dr, Sacramento, CA 95831-3611 | 2007-04-10 |
| 1417002783 | Brian Lee Royse | Dentist | 2503 K St, Sacramento, CA 95816-5101 | 2007-01-24 |
| 1982752358 | Franklin Anthony Niggebrugge | Dentist | 1737 Professional Dr, Sacramento, CA 95825-2104 | 2007-01-08 |
| 1407903131 | Grace Unehae Lee | Dentist | 3604 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7256 | 2007-01-04 |
| 1962561340 | Reza Fouladi | Dentist | 7551 Timberlake Way Ste 120, Sacramento, CA 95823-5421 | 2006-12-08 |
| 1013075308 | Michael Steven Phelps | Dentist | 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 | 2006-12-05 |
| 1831121250 | Mark Allan Weiner | Dentist | 2525 K St Ste 101, Sacramento, CA 95816-5114 | 2006-07-07 |
| 1851320584 | Jagdev Singh Heir | Dentist | 4170 Truxel Rd, Suite C, Sacramento, CA 95834-3758 | 2006-07-03 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.