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A Professional Dental Corp.

Periodontics in Antioch, CA · enumerated 2005 · authorized official Kelly Butti, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639174279

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Registry record

Entity type Organization (Type 2)
Legal business name A Professional Dental Corp.
Other name <Unavail>
Practice address 3505 Lone Tree Way, Ste 7, Antioch, CA, 94509
Phone (925) 756-7884
Fax (925) 756-7894
Enumeration date Jun 20, 2005
Last updated in NPPES Jun 13, 2008

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License 40072 (CA) Primary

Authorized official

Name Kelly Butti
Title Office Manager
Phone (925) 756-7884

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for A Professional Dental Corp.?
NPPES lists Kelly Butti (Office Manager) as the authorized official for this organization.
What is the NPI number for A Professional Dental Corp.?
The NPI for A Professional Dental Corp. is 1639174279, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-13.