DR. MICHAEL JOHN PETRUCCI DDS
NPI 1104918481
Dentist - General Practice in Sacramento, CA

Active since September 28, 2006
1901 WATT AVE STE 3, SACRAMENTO, CA 95825(916) 487-3232(916) 487-2067 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael John Petrucci Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JOHN PETRUCCI DDS (NPI 1104918481) is an individual general practice provider in Sacramento, California, licensed in California (34756) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104918481
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL JOHN PETRUCCICredential: DDS
Location Address1901 WATT AVE STE 3Sacramento, CA 95825-2152
Mailing Address1901 Watt Ave Ste 3Sacramento, CA 95825-2152 · (916) 487-3232 · Fax (916) 487-2067
Fax(916) 487-2067
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104918481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 34756
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.
1901 WATT AVE STE 3, Sacramento, CA 95825

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1901 WATT AVE STE 3
SACRAMENTO, CA 95825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Petrucci's NPI number?

The NPI number for Michael Petrucci is 1104918481. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Michael Petrucci located?

Michael Petrucci practices at 1901 Watt Ave Ste 3, Sacramento, CA 95825. The listed phone number is (916) 487-3232.

What is Michael Petrucci's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Petrucci was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.