Healthcare Provider Details

I. General information

NPI: 1336225366
Provider Name (Legal Business Name): BLYTHE ARRINGTON PEEL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BLYTHE ARRINGTON

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16475 SIERRA LAKES PKWY STE 140
FONTANA CA
92336-1259
US

IV. Provider business mailing address

31620 WRIGHTWOOD RD
BONSALL CA
92003-4708
US

V. Phone/Fax

Practice location:
  • Phone: 909-357-4887
  • Fax:
Mailing address:
  • Phone: 909-367-4012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberCA57815
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6228663
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: