DR. GUS CHARLES PETRAS D.D.S. NPI 1942570122

NPI Information

NPI: 1942570122
Provider Name: DR. GUS CHARLES PETRAS, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
400 HARTNELL AVE
REDDING, CA
ZIP 96002
Phone: (530) 222-2473
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DR. Gus Charles Petras, D.D.S. is a pediatric dentistry dentist in Redding, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Gus Charles Petras, D.D.S. NPI is 1942570122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 HARTNELL AVE
REDDING, CA
ZIP 96002-848
Phone: (530) 222-2473
Fax: (530) 222-3718

The enumeration date for this NPI number is 1/5/2012 and was last updated on 1/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	22171	CALIFORNIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	22171	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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