Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSE MICHAEL FA, D.D.S
Active Sole ProprietorDR. JESSE MICHAEL FA, D.D.S is a Oral & Maxillofacial Surgery healthcare provider located in BRENTWOOD, California. NPI 1629291091 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BRENTWOOD, CA
Registration Details
- NPI Number
- 1629291091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.306144404158 yrs)
- Last Updated
- Apr 8, 2020
- License
-
55360 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2201 BALFOUR RD STE EBRENTWOOD, CA, 945134927Browse CA providers · Browse ZIP 94513
- Phone
- 9253087908
- Fax
- 9253087910
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in BRENTWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL A. ARROW | D.M.D. | 1134123623 |
| DR. DIKRAN DERAGOPIAN | DMD, MD | 1831391515 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.