OLGA ANTIPOVA NPI 1396099115

NPI Information

NPI: 1396099115
Provider Name: OLGA ANTIPOVA
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 140 STONY POINT RD STE A
SANTA ROSA, CA
ZIP 95401
Phone: (707) 578-3118

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NPI Details

Olga Antipova is a general practice dentist in Santa Rosa, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Olga Antipova NPI is 1396099115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 STONY POINT RD STE A
SANTA ROSA, CA
ZIP 95401-121
Phone: (707) 578-3118

The enumeration date for this NPI number is 10/31/2012 and was last updated on 10/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	61522	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NA	OTHER		DO NOT HAVE IT YET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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