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DR. LEAH T DEBERARDINIS
NPI 1396947693
Dentist - General Practice in Petaluma, CA

Active since May 31, 2007
511 HAYES LN, PETALUMA, CA 94952(707) 763-2654(707) 763-3141 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leah T Deberardinis NPPES

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

DR. LEAH T DEBERARDINIS (NPI 1396947693) is an individual general practice provider in Petaluma, California, licensed in California (51523) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396947693
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LEAH T DEBERARDINIS
Location Address511 HAYES LNPetaluma, CA 94952-4011
Mailing Address22 Wallenberg WayPetaluma, CA 94952-4786 · (707) 799-7344 · Fax (707) 763-3141
Phone(707) 763-2654
Fax(707) 763-3141
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateJune 30, 2011
✔ NPI 1396947693 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 · 51523
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.
511 HAYES LN, Petaluma, CA 94952
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Other Providers at the Same Location NPPES 3

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

DR. STEPHEN H NAGLE
Dentist (General Practice)
511 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 763-2654
DR. W. RICHARD THAYER D.D.S.
Dentist (General Practice)
511 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 763-2654
DR. DAVID A STRAUB D.D.S.
Dentist (General Practice)
511 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 763-2654

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 Leah Deberardinis's NPI number?

The NPI number for Leah Deberardinis is 1396947693. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Leah Deberardinis located?

Leah Deberardinis practices at 511 Hayes Ln, Petaluma, CA 94952. The listed phone number is (707) 763-2654.

What is Leah Deberardinis'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 Leah Deberardinis was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.