DR. ERIC A PETTERSEN (NPI# 1174660492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174660492 |
| Entity Type | Individual |
| Full Name | DR. ERIC A PETTERSEN |
| Credential | D.D.S. |
| Practice Address |
25460 Medical Center Dr #200 Murrieta CA 92562-5985 |
| Practice Telephone | 9516777322 |
| Practice Fax Number | 9516771860 |
| Mailing Telephone | 9516777322 |
| Mailing Fax Number | 9516771860 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
033829 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710903299 | Eric Pettersen | Dentist | 522 W Finnie Flats Rd, Ste J, Camp Verde, AZ 86322-7265 | 2006-07-15 |
| Street Address |
25460 MEDICAL CENTER DR #200 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588741748 | Jonathan Mark Geller | Optometrist | 25460 Medical Center Dr, 103, Murrieta, CA 92562-5985 | 2006-11-01 |
| 1821400763 | Lee Ibarra | Dentist | 25460 Medical Center Dr, Suite 202, Murrieta, CA 92562-5966 | 2014-05-27 |
| 1427303809 | Elizabeth Locascio | Obstetrics & Gynecology | 25460 Medical Center Dr, Ste 100, Murrieta, CA 92562-5985 | 2012-07-20 |
| 1649540303 | Inland Eye Specialists A Medical Corp | Optometrist | 25460 Medical Center Dr, Suite 103, Murrieta, CA 92562-5985 | 2012-01-11 |
| 1730349754 | Elizabeth J Roberts, M.d., Inc. | Psychiatry & Neurology | 25460 Medical Center Dr, Suite 203, Murrieta, CA 92562-5985 | 2008-06-12 |
| 1417150848 | Temecula Valley Ob Gyn Medical Associates, Inc. | Obstetrics & Gynecology | 25460 Medical Center Dr, Suite 100, Murrieta, CA 92562-5985 | 2007-06-05 |
| 1689887051 | Kendra Gabrielle Jones | Obstetrics & Gynecology | 25460 Medical Center Dr, Suite 100, Murrieta, CA 92562-5966 | 2007-05-08 |
| 1821119496 | William Lloyd Neff Jr. | Dentist | 25460 Medical Center Dr, Suite #202, Murrieta, CA 92562-5985 | 2007-04-02 |
| 1215062906 | Golden Triangle Optometrics | Optometrist | 25460 Medical Center Dr, Ste. 103, Murrieta, CA 92562-5985 | 2007-02-22 |
| 1538206768 | Adrian Silberman | Dentist | 25460 Medical Center Dr, #200, Murrieta, CA 92562-5985 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992915524 | Soheil P Levi Dds | Dentist | 40643 Cal Oaks Road, Murrieta, CA 92562 | 2007-05-23 |
| 1336783026 | Temecula Valley Micro Endodontics | Dentist | 39755 Date St, Murrieta, CA 92563-2007 | 2019-11-05 |
| 1578013926 | Huey Q Tran, Dds, Inc. | Dentist | 39400 Murrieta Hot Springs Rd, Suite 123-b, Murrieta, CA 92563-7707 | 2016-10-10 |
| 1356558852 | Gary Michael Altenburg | Dentist | 39755 Date St, Suite 208, Murrieta, CA 92563-2007 | 2007-05-16 |
| 1366563462 | Mirta Cristina Roe | Dentist | 39755 Murrieta Hot Springs Rd, Suite D-150, Murrieta, CA 92563-9101 | 2007-04-03 |
| 1477674596 | Roe Professional Dental Corporation | Dentist | 39755 Murrieta Hot Springs Rd, Suite D-150, Murrieta, CA 92563-9101 | 2007-04-03 |
| 1538206768 | Adrian Silberman | Dentist | 25460 Medical Center Dr, #200, Murrieta, CA 92562-5985 | 2007-01-30 |
| 1770504235 | Shawn R Anderson | Dentist | 25109 Jefferson Ave, #220, Murrieta, CA 92562-8116 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.