Candide J. Petrol, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

33647 Issued in CA

Practice address

41011 California Oaks Rd.
Suite 201
Murrieta, CA 92562-5751

Phone

(951) 698-8200

Fax

(951) 698-0366

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shawn P. Pesh, DDS, Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murrieta, CA
  • NPI 1295207041
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861410482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41011 CALIFORNIA OAKS RD.",
            "address_2": "SUITE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-698-8200",
            "fax_number": "951-698-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41011 CALIFORNIA OAKS RD.",
            "address_2": "SUITE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625751",
            "telephone_number": "951-698-8200",
            "fax_number": "951-698-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROL",
        "first_name": "CANDIDE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "33647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pervaiz Channah and Associates
• Shawn P. Pesh, DDS, MS
• Trenton Lee Peterson, PA-C
• Robyn Petri
• Stephanie Petrick
• Eric A Pettersen, D.D.S.
• Karlton Petty Jr
• Dao Kim Pham-Nguyen, DDS
• Binh Gia Pham, PHARM.D
• Christine Pham, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.