DR. CORRIE CHRISTOPHER LEISEN DDS
NPI 1902087505
Dentist - General Practice in Santa Rosa, CA

Q: What is Corrie Leisen's NPI number?

The NPI number for Corrie Leisen is 1902087505. It was assigned to this individual provider in the NPPES registry on November 25, 2007.

Q: What is Corrie Leisen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Corrie Leisen was last updated on November 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 25, 2007

3914 PRINCETON DR, SANTA ROSA, CA 95405(707) 546-2129(707) 546-2131 Get Directions Write a Review

NPPES record last updated: November 25, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Corrie Christopher Leisen Dds NPPES

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

DR. CORRIE CHRISTOPHER LEISEN DDS (NPI 1902087505) is an individual general practice provider in Santa Rosa, California, licensed in California (30919) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1902087505

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CORRIE CHRISTOPHER LEISENCredential: DDS

Location Address3914 PRINCETON DRSanta Rosa, CA 95405-7014

Mailing Address3914 Princeton DrSanta Rosa, CA 95405-7014 · (707) 546-2129 · Fax (707) 546-2131

Phone(707) 546-2129

Fax(707) 546-2131

Sole ProprietorYes

Enumeration DateNovember 25, 2007

✔ NPI 1902087505 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 · 30919

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.

3914 PRINCETON DR, Santa Rosa, CA 95405

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Other Providers at the Same Location NPPES

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

CHELSEA NICOLE WHITCOMB

Massage Therapist

3914 PRINCETON DR
SANTA ROSA, CA 95405

Sonoma County (707) 596-3117

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 Corrie Leisen's NPI number?

The NPI number for Corrie Leisen is 1902087505. It was assigned to this individual provider in the NPPES registry on November 25, 2007.

Where is Corrie Leisen located?

Corrie Leisen practices at 3914 Princeton Dr, Santa Rosa, CA 95405. The listed phone number is (707) 546-2129.

What is Corrie Leisen'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 Corrie Leisen was last updated on November 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.