Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles R. Petrie I, DDS

Individual provider General Practice Dentistry · NPI 1407956055

Dr. Charles R. Petrie I, DDS is a General Practice Dentistry in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6280 Jackson Dr Ste 6
San Diego, CA 92119-3434
Phone: (619) 466-0194
Fax: (619) 374-2110
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 24588 (CA)

Record details

NPI number1407956055
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJuly 8, 2007

Other providers in San Diego