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DR. HARLEY ALBERT DEISEM JR. DDS
NPI 1093820557
Dentist - General Practice in Chino, CA

Active since August 21, 2006
12875 MOUNTAIN AVE, CHINO, CA 91710(909) 591-0316(909) 628-4823 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Harley Albert Deisem Jr. Dds NPPES

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

DR. HARLEY ALBERT DEISEM JR. DDS (NPI 1093820557) is an individual general practice provider in Chino, California, licensed in California (029698) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1093820557
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HARLEY ALBERT DEISEM JR.Credential: DDS
Location Address12875 MOUNTAIN AVEChino, CA 91710-4556
Mailing Address12875 Mountain AveChino, CA 91710-4556 · (909) 591-0316 · Fax (909) 628-4823
Phone(909) 591-0316
Fax(909) 628-4823
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093820557 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 · 029698
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.
12875 MOUNTAIN AVE, Chino, CA 91710
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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 Harley Deisem's NPI number?

The NPI number for Harley Deisem is 1093820557. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Harley Deisem located?

Harley Deisem practices at 12875 Mountain Ave, Chino, CA 91710. The listed phone number is (909) 591-0316.

What is Harley Deisem'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 Harley Deisem was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.