Individual provider · Type 1 NPI

Maryanne Nersesyan, DDS

General Practice Dentistry · Lakeport, CA

NPI number 1033024708 Active

Practice location

1090 N Forbes St
Lakeport, CA 95453-4341

Mailing address

1151 11th Street, PO Box 392
Lakeport, CA 95453-9917

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDDS113572 (CA)

General Practice Dentistry: 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.

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About NPI 1033024708

Maryanne Nersesyan, DDS's National Provider Identifier is 1033024708, issued on Aug 17, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakeport, CA. The record was last updated on Aug 17, 2026.