DR. MARC CALLEN DEBERARDINIS D.M.D., M.S.
NPI 1245369826
Dentist - Orthodontics and Dentofacial Orthopedics in Petaluma, CA

Active since March 02, 2007
1476 PROFESSIONAL DR, SUITE 506, PETALUMA, CA 94954(707) 762-0211(707) 762-5149 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marc Callen Deberardinis D.m.d., M.s. NPPES

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

DR. MARC CALLEN DEBERARDINIS D.M.D., M.S. (NPI 1245369826) is an individual orthodontics and dentofacial orthopedics provider in Petaluma, California, licensed in California (46375) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1245369826
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. MARC CALLEN DEBERARDINISCredential: D.M.D., M.S.
Location Address1476 PROFESSIONAL DR, SUITE 506Petaluma, CA 94954-1500
Mailing Address2050 Divisadero St, #1San Francisco, CA 94115-2113 · (415) 706-8662
Fax(707) 762-5149
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1245369826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 46375
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1476 PROFESSIONAL DR, Petaluma, CA 94954

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
1476 PROFESSIONAL DR, SUITE 505
PETALUMA, CA 94954
Dentist (Orthodontics and Dentofacial Orthopedics)
1476 PROFESSIONAL DR, SUITE 506
PETALUMA, CA 94954
Dentist (Orthodontics and Dentofacial Orthopedics)
1476 PROFESSIONAL DR, SUITE 506
PETALUMA, CA 94954
Dentist
1476 PROFESSIONAL DR
PETALUMA, CA 94954
Massage Therapist
1476 PROFESSIONAL DR, SUITE 503
PETALUMA, CA 94954

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 Marc Deberardinis's NPI number?

The NPI number for Marc Deberardinis is 1245369826. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Marc Deberardinis located?

Marc Deberardinis practices at 1476 Professional Dr Suite 506, Petaluma, CA 94954. The listed phone number is (707) 762-0211.

What is Marc Deberardinis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Marc Deberardinis 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.