IndividualActive
Ly Petrie, D.D.S.
NPI 1720340896 · Dentist · San Bernardino, CA
Ly Petrie, D.D.S. is a Dentist provider in San Bernardino, CA (NPI 1720340896).
Provider details
- NPI number
- 1720340896
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 63273 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
665 N D St
San Bernardino, CA 92401-1109
Phone: (909) 708-8158
Street-level locationGet directions
Mailing address
11201 Benton St
Loma Linda, CA 92357-1000
Additional practice locations (1)
- 1070 E Ramsey StBanning, CA 92220-5924Phone: (951) 846-2560
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2020-12-11
- Certified
- 2020-12-11
Frequently asked questions
- What is Ly Petrie's NPI number?
- Ly Petrie's National Provider Identifier (NPI) is 1720340896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ly Petrie's specialty?
- Ly Petrie is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ly Petrie located?
- Ly Petrie's practice location on file with NPPES is 665 N D St, San Bernardino, CA 92401-1109.
- What is Ly Petrie's phone number?
- The practice phone number listed in the NPPES registry for Ly Petrie is (909) 708-8158.
- Is Ly Petrie's NPI active?
- Yes — Ly Petrie's NPI (1720340896) is active in the NPPES registry as of the last update on 2020-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.