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DR. CHRISTINE ELYSE PETRILLA DDS NPI 1063821163


NPI Profile

NPI: 1063821163
Provider Name: DR. CHRISTINE ELYSE PETRILLA, DDS
Classification:Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
72333 HIGHWAY 111
SUITE B
PALM DESERT, CA
ZIP 92260
Get Directions

Phone: (760) 674-9666

DR. Christine Elyse Petrilla, DDS is a general practice dentist in Palm Desert, CA. The provider is 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. DR. Christine Elyse Petrilla, DDS NPI is 1063821163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

72333 HIGHWAY 111
SUITE B
PALM DESERT, CA
ZIP 92260-790
Phone: (760) 674-9666

The enumeration date for this NPI number is 8/4/2014 and was last updated on 5/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice63811CALIFORNIAYes

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: 10/10/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.