Healthcare Provider Details

I. General information

NPI: 1538238878
Provider Name (Legal Business Name): HEATHER KATHLEEN DELONEY D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 N EL CAMINO REAL
ENCINITAS CA
92024-1328
US

IV. Provider business mailing address

477 N EL CAMINO REAL
ENCINITAS CA
92024-1328
US

V. Phone/Fax

Practice location:
  • Phone: 760-753-6496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number53858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: