Individual provider · Type 1 NPI

Marc Callen Deberardinis, DMD, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Petaluma, CA

NPI number 1245369826 Active

Practice location

1476 Professional Dr, Suite 506
Petaluma, CA 94954-1500

Call (707) 762-0211 Map

Fax (707) 762-5149

Mailing address

2050 Divisadero St, #1
San Francisco, CA 94115-2113

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	46375 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

5 other providers at this address

Other orthodontics and dentofacial orthopedics dentistry providers in Petaluma

See all in Petaluma →

About NPI 1245369826

Marc Callen Deberardinis, DMD, M.S.'s National Provider Identifier is 1245369826, issued on Mar 2, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Petaluma, CA. The record was last updated on Jul 8, 2007.