# ALEXANDER ANTIPOV INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245553924
- **Authorized official:** MRS. TIA MARIE BYCROFT (MANAGER)
- **Authorized official phone:** (916) 783-2110

## Contact information

- **Practice address:** 927 RESERVE DR, SUITE A, ROSEVILLE, CA 95678
- **Practice address phone:** (916) 783-2110
- **Mailing address:** 927 RESERVE DR, SUITE A, ROSEVILLE, CA 95678
- **Mailing address phone:** (916) 783-2110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 50724 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 03/09/2010