Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CRAIG ALAN PETTENGILL, D.D.S.
Active Sole ProprietorDR. CRAIG ALAN PETTENGILL, D.D.S. is a Dentist healthcare provider located in SAN JOSE, California. NPI 1992914410 is currently active in the NPPES registry. Verify at CMS.
Dentist · SAN JOSE, CA
Registration Details
- NPI Number
- 1992914410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.231240922341 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30413 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1660 WESTWOOD DR STE ESAN JOSE, CA, 951255100Browse CA providers · Browse ZIP 95125
- Phone
- 4082699180
- Fax
- 4082699199
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PAULINE PHUONG NGUYEN | D.D.S. | 1053319707 |
| DR. HOUSTON NGUYEN | DDS | 1992791594 |
| DR. RICHARD JOSEPH RAVIZZA V | DDS | 1215927413 |
| DR. TRONG TU TRAN | DDS | 1689653966 |
| STEPHEN N. DOMBRO | D.D.S. | 1144291691 |
| RICHARD T BATTAGLIA | DDS | 1033184635 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.