DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CORRIE CHRISTOPHER LEISEN, DDS

Active Sole Proprietor

DR. CORRIE CHRISTOPHER LEISEN, DDS is a General Dentistry healthcare provider located in SANTA ROSA, California. NPI 1902087505 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SANTA ROSA, CA

Registration Details

NPI Number
1902087505
Provider Type
Individual
Gender
Male
NPI Issued
Nov 25, 2007 (18.724511524477 yrs)
Last Updated
Nov 25, 2007
License
30919 (CA)
Sole Proprietor
Yes

Practice Information

Address
3914 PRINCETON DR
SANTA ROSA, CA, 954057014
Browse CA providers · Browse ZIP 95405
Phone
7075462129
Fax
7075462131
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SANTA ROSA, CA

Name Credential NPI
DR. HARRY FRANCIS ALBERS D.D.S. 1659374643
DR. JAMES JOSEPH FORNI D.D.S. 1376532986
DR. DAVID GLENN HARRIS D.D.S. 1275523987
DR. JEFFREY D. BEAN D.D.S. 1609866888
DR. JEFFREY IAN PETERSEN DMD 1669454211
DARIN JAMES SCHETTLER D.D.S. 1568445856
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.