Sylvia Lichtenstein Deaguiar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101798 Issued in CA

Practice address

120 Pleasant Hill Ave N Ste 110
Sebastopol, CA 95472-3174

Phone

(707) 823-6481

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1053836700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 GAYDEE CT",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724611",
            "telephone_number": "707-291-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PLEASANT HILL AVE N STE 110",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723174",
            "telephone_number": "707-823-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAGUIAR",
        "first_name": "SYLVIA",
        "middle_name": "LICHTENSTEIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet W. Dantin, PH.D.
• Nancy Alice Davidson, M.D.
• Jayme Lyn Davis, LMFT
• Shoshana Rose Davis, AMFT
• Russell Dean Dawson, MFT INTERN
• Starla Dean
• Rebecca Demartini, DOULA
• Tracy Austin Dempsey
• Melissa Denby
• Lindsey Derutte

• General Practice Dentistry in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.