Genesis Profeta Antonio, D.D.S. is a general practice dentist in Fairfield, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Genesis Profeta Antonio, D.D.S. NPI is 1326113291. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
650 EMPIRE ST SUITE B FAIRFIELD, CA ZIP 94533-527 Phone: (707) 428-7171 Fax: (707) 428-7179
The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/8/2007.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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