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DR. CHARLES R. PETRIE I D.D.S.
NPI 1407956055
Dentist - General Practice in San Diego, CA

Active since September 24, 2006
6280 JACKSON DR, SUITE 6, SAN DIEGO, CA 92119(619) 466-0194(619) 374-2110 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. Charles R. Petrie I D.d.s. NPPES

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

DR. CHARLES R. PETRIE I D.D.S. (NPI 1407956055) is an individual general practice provider in San Diego, California, licensed in California (24588) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1407956055
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES R. PETRIE ICredential: D.D.S.
Location Address6280 JACKSON DR, SUITE 6San Diego, CA 92119-3434
Mailing Address6280 Jackson Dr, Suite 6San Diego, CA 92119-3434 · (619) 466-0194 · Fax (619) 374-2110
Phone(619) 466-0194
Fax(619) 374-2110
Sole ProprietorYes
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407956055 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 · 24588
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.
6280 JACKSON DR, San Diego, CA 92119
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Other Providers at the Same Location NPPES 12

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

DR. SHEILA MARSH MD
Family Medicine
6280 JACKSON DR, SUITE 8
SAN DIEGO, CA 92119
San Diego County (619) 464-1687
BISSONETTE, FREY, GREENBERG, GREER, MALKUS, SPRINGER
Family Medicine
6280 JACKSON DR, STE 8
SAN DIEGO, CA 92119
San Diego County (619) 464-1608
BRUCE V FOERSTER M.D.
Orthopaedic Surgery
6280 JACKSON DR, SUITE 4C
SAN DIEGO, CA 92119
San Diego County (619) 825-6325
STEVE J HERNANDEZ PA
Family Medicine
6280 JACKSON DR, STE#8
SAN DIEGO, CA 92119
San Diego County (619) 464-1607
DR. JONATHAN ZADOK FUNG DDS
Dentist (General Practice)
6280 JACKSON DR, SUITE 6
SAN DIEGO, CA 92119
San Diego County (619) 464-4346
JOHN C PARKER IV PHD INC
Psychologist (Clinical)
6280 JACKSON DR, STE 7
SAN DIEGO, CA 92119
San Diego County (619) 697-0944
ASHLEY RINA FUENTES MSN, RN
Nurse Practitioner (Family)
6280 JACKSON DR
SAN DIEGO, CA 92119
San Diego County (619) 464-1607
DR. FLORA HYACINTH D.C.
Chiropractor
6280 JACKSON DR, STE. 4C
SAN DIEGO, CA 92119
San Diego County (619) 804-5144

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 Charles Petrie's NPI number?

The NPI number for Charles Petrie is 1407956055. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Charles Petrie located?

Charles Petrie practices at 6280 Jackson Dr Suite 6, San Diego, CA 92119. The listed phone number is (619) 466-0194.

What is Charles Petrie'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 Charles Petrie 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.