OrganizationActive
A Professional Dental Corp.
NPI 1639174279 · Periodontics · Antioch, CA
A Professional Dental Corp. is a Periodontics organization in Antioch, CA (NPI 1639174279).
Provider details
- NPI number
- 1639174279
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Butti, Office Manager(925) 756-7884
- License
- 40072 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3505 Lone Tree Way
Ste 7
Antioch, CA 94509-6067
Phone: (925) 756-7884
Fax: (925) 756-7894
Approximate (ZIP-level) locationGet directions
Mailing address
3505 Lone Tree Way
Antioch, CA 94509-6067
Other names (DBA / former)
- Former legal business name
- A Nancy Drumov - Dubuk, DDS
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2008-06-13
Frequently asked questions
- What is A Professional Dental Corp.'s NPI number?
- A Professional Dental Corp.'s National Provider Identifier (NPI) is 1639174279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A Professional Dental Corp.?
- A Professional Dental Corp. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is A Professional Dental Corp. located?
- A Professional Dental Corp.'s practice location on file with NPPES is 3505 Lone Tree Way, Antioch, CA 94509-6067.
- What is A Professional Dental Corp.'s phone number?
- The practice phone number listed in the NPPES registry for A Professional Dental Corp. is (925) 756-7884.
- Who is the authorized official for A Professional Dental Corp.?
- The authorized official listed on A Professional Dental Corp.'s NPPES record is Kelly Butti, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A Professional Dental Corp.'s NPI active?
- Yes — A Professional Dental Corp.'s NPI (1639174279) is active in the NPPES registry as of the last update on 2008-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.