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

Jesse M. Fa, DDS, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1649689597

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

Licensed in
CA
In the registry since
2014
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

2201 Balfour Rd Ste E
Brentwood, CA 94513-4927
Phone: (925) 308-7908
Fax: (925) 308-7910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2390 Country Hills Dr Ste 103, Antioch, CA 94509-7437 — (925) 757-2217

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 55360 (CA)

Record details

NPI number1649689597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Fa — Owner · (925) 757-2217
Other names Blue Oak Oral Surgery & Dental Implant Center
NPI enumeratedAugust 5, 2014
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address2201 Balfour Rd Ste E, Brentwood, CA 94513-4927

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