1. Home
  2. Directory
  3. California
  4. Lakeport
  5. Dentist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARYANNE NERSESYAN DDS
NPI 1033024708
Dentist - General Practice in Lakeport, CA

Active since August 17, 2026
1090 N FORBES ST, LAKEPORT, CA 95453(707) 263-1496 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Maryanne Nersesyan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYANNE NERSESYAN DDS (NPI 1033024708) is an individual general practice provider in Lakeport, California, licensed in California (DDS113572) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1033024708
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARYANNE NERSESYANCredential: DDS
Location Address1090 N FORBES STLakeport, CA 95453-4341
Mailing Address1151 11th Street, Po Box 392Lakeport, CA 95453-9917
Phone(707) 263-1496
Sole ProprietorNo
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1033024708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS113572
Definition
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.
1090 N FORBES ST, Lakeport, CA 95453
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL VARTABEDIAN D.D.S.
Dentist (Prosthodontics)
1090 N FORBES ST
LAKEPORT, CA 95453
Lake County (707) 263-1496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryanne Nersesyan's NPI number?

The NPI number for Maryanne Nersesyan is 1033024708. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Maryanne Nersesyan located?

Maryanne Nersesyan practices at 1090 N Forbes St, Lakeport, CA 95453. The listed phone number is (707) 263-1496.

What is Maryanne Nersesyan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Maryanne Nersesyan was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.