Organization Active NPI

Lester Dental Corporation

Doing business as General Dentistry of Petaluma, Anastasia Lester, DDS

  • Dental Clinic/Center
  • Petaluma, CA
National Provider Identifier
1083247480
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LESTER DENTAL CORPORATION
Doing business as
General Dentistry of Petaluma, Anastasia Lester, DDS
Practice address
135 Keller St Ste F
Petaluma, CA 94952-2312
Phone
(707) 778-6006
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Dr. Anastasia Lester, DDS
Title
President, Ceo
Phone
(707) 228-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

135 Keller St Ste F
Petaluma, CA 94952-2312

Mailing address

135 Keller St Ste F
Petaluma, CA 94952-2312
Phone (707) 778-6006

Other names 1

  • General Dentistry of Petaluma, Anastasia Lester, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

135 Keller St
Ste F
Petaluma, CA 94952
Phone (707) 778-6006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1083247480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KELLER ST STE F",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522312",
            "telephone_number": "707-778-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KELLER ST STE F",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522312",
            "telephone_number": "707-778-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "707-228-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Dentistry of Petaluma, Anastasia Lester, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.