Charles R. Petrie in San Diego - General Practice
Charles R. Petrie - NPI 1407956055
Charles R. Petrie is a General Practice in San Diego, California. Charles R. Petrie practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles R. Petrie is 1407956055. The last update date is 2007-07-08.
Charles R. Petrie's current location address is 6280 Jackson Dr, San Diego, California. You can contact this provider via phone number 6194660194 and fax number 6193742110. The mailing address for Charles R. Petrie is 6280 Jackson Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles R. Petrie |
|---|---|
| Address | 6280 Jackson Dr, San Diego, California |
| Phone Number | 6194660194 |
| Fax Number | 6193742110 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1407956055 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6280 Jackson Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921193434 |
| Phone Number | 6194660194 |
| Fax Number | 6193742110 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 24588 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the Charles R. Petrie's unique identification number?
The Charles R. Petrie has been assigned the NPI (National Provider Identifier) Number 1407956055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Charles R. Petrie's facilities are geographically located?
The facilities of Charles R. Petrie are physically situated at the following location: 6280 Jackson Dr, San Diego, CA, 921193434.
What is Charles R. Petrie's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles R. Petrie is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Charles R. Petrie receive the assignment of its 1407956055 from the Centers for Medicare & Medicaid Services?
The Charles R. Petrie was issued its 1407956055 by the Centers for Medicare & Medicaid Services on 2006-09-24.
As of what date were the details related to Charles R. Petrie most recently updated or revised?
The information pertaining to Charles R. Petrie, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.