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

Q: What is Ly Petrie's NPI number?

The NPI number for Ly Petrie is 1720340896. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Q: What is Ly Petrie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ly Petrie was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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: August 16, 2026.

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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

Phone(909) 708-8158

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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