Jesse M. Fa, DDS, Inc
NPI 1104349760 · Oral and Maxillofacial Surgery (Dentist) · Antioch, CA
Jesse M. Fa, DDS, Inc is a Oral and Maxillofacial Surgery (Dentist) organization in Antioch, CA (NPI 1104349760).
Provider details
- NPI number
- 1104349760
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jesse Fa, Owner(925) 757-2217
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2201 Balfour Rd Ste EBrentwood, CA 94513-4927Phone: (925) 308-7908Fax: (925) 308-7910
Registry dates
- Enumerated
- 2017-07-25
- Last updated
- 2018-03-17
Frequently asked questions
- What is Jesse M. Fa, DDS, Inc's NPI number?
- Jesse M. Fa, DDS, Inc's National Provider Identifier (NPI) is 1104349760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jesse M. Fa, DDS, Inc?
- Jesse M. Fa, DDS, Inc is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Jesse M. Fa, DDS, Inc located?
- Jesse M. Fa, DDS, Inc's practice location on file with NPPES is 2730 Lone Tree Way Ste 7, Antioch, CA 94509-4964.
- What is Jesse M. Fa, DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Jesse M. Fa, DDS, Inc is (925) 757-2217.
- Who is the authorized official for Jesse M. Fa, DDS, Inc?
- The authorized official listed on Jesse M. Fa, DDS, Inc's NPPES record is Jesse Fa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jesse M. Fa, DDS, Inc's NPI active?
- Yes — Jesse M. Fa, DDS, Inc's NPI (1104349760) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.