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

Genesis Profeta Antonio, DDS

Individual provider General Practice Dentistry · NPI 1326113291

Genesis Profeta Antonio, DDS is a General Practice Dentistry in Fairfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

650 Empire St Ste B
Fairfield, CA 94533-5527
Phone: (707) 428-7171
Fax: (707) 428-7179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 48076 (CA)

Record details

NPI number1326113291
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 8, 2007
Mailing address650 Empire St, Suite B, Fairfield, CA 94533-5527

Other providers in Fairfield