Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse M. Fa, DDS, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1104349760

Jesse M. Fa, DDS, Inc is an Oral and Maxillofacial Surgery (Dentist) in Antioch, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2730 Lone Tree Way Ste 7
Antioch, CA 94509-4964
Phone: (925) 757-2217
Fax: (925) 757-6417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2201 Balfour Rd Ste E, Brentwood, CA 94513-4927 — (925) 308-7908

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X (CA)

Record details

NPI number1104349760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Fa — Owner · (925) 757-2217
NPI enumeratedJuly 25, 2017
Last updated in NPPESMarch 17, 2018
Mailing address2730 Lone Tree Way Ste 7, Antioch, CA 94509-4964

Other providers in Antioch