Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark John Nizibian, DDS

Individual provider Dentist · NPI 1023386638

Dr. Mark John Nizibian, DDS is a Dentist in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1122 B St
Petaluma, CA 94952-4055
Phone: (707) 763-1688
Fax: (707) 763-5152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DA 034394 (CA)

Record details

NPI number1023386638
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 9, 2011
Last updated in NPPESDecember 9, 2011
Mailing address1122 B St, Petaluma, CA 94952-4055

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