LY NGOC PETRIE D.D.S.
NPI 1720340896
Dentist in San Bernardino, CA

Active since June 13, 2012
665 N D ST, SAN BERNARDINO, CA 92401(909) 708-8158 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ly Ngoc Petrie D.d.s. NPPES

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

LY NGOC PETRIE D.D.S. (NPI 1720340896) is an individual dentist in San Bernardino, California, licensed in California (63273) and active in the NPI registry since June 2012. She maintains a secondary practice location in Banning.

NPPES Registry Identity

NPI1720340896
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLY NGOC PETRIECredential: D.D.S.
Location Address665 N D STSan Bernardino, CA 92401-1109
Mailing Address11201 Benton StLoma Linda, CA 92357-1000
Sole ProprietorNo
Enumeration DateJune 13, 2012
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
NPI 1720340896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 63273
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

665 N D ST, San Bernardino, CA 92401

Secondary Practice Location 1

Location 11070 E Ramsey StBanning, CA 92220-5924 · Phone (951) 846-2560

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
665 N D ST
SAN BERNARDINO, CA 92401
Family Medicine
665 N D ST
SAN BERNARDINO, CA 92401
Dentist
665 N D ST
SAN BERNARDINO, CA 92401
Dietitian, Registered
665 N D ST
SAN BERNARDINO, CA 92401
Physician Assistant
665 N D ST
SAN BERNARDINO, CA 92401
Counselor (Addiction (Substance Use Disorder))
665 N D ST
SAN BERNARDINO, CA 92401
Psychologist (Clinical)
665 N D ST
SAN BERNARDINO, CA 92401
Pharmacist
665 N D ST
SAN BERNARDINO, CA 92401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720340896, enumerated as an "individual" on June 13, 2012.

The provider is located at 665 N D ST SAN BERNARDINO, CA 92401 and the phone number is (909) 708-8158.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.