Genesis Profeta Antonio is a Fairfield, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Genesis Profeta Antonio is 48076 for General Practice Dentistry in California. His current practice location is 650 Empire St, Suite B, Fairfield. Patients can reach him at 707-428-7171.
Genesis Profeta Antonio is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Genesis Profeta Antonio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Genesis Profeta Antonio
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
650 Empire St, Suite B, Fairfield, California, 94533-5527
Phone:
707-428-7171
Fax:
707-428-7179
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1326113291
NPI Enumeration Date:
22 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Genesis Profeta Antonio are as mentioned below.
License Number
Specialization
State
Status
48076
General Practice Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
650 Empire St, Suite B Fairfield, California
Zip:
94533-5527
Phone Number:
707-428-7171
Fax Number:
707-428-7179
Patients can reach Genesis Profeta Antonio at 650 Empire St, Suite B, Fairfield, California or can call to book an appointment on 707-428-7171. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.