MEDICARE: DR. CHARLES CRAIG PELLETIER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30271	CA

General Provider Information

NPI Number	:	1174646194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES CRAIG PELLETIER D.D.S.

Provider Business Mailing Address
First Line	:	6552 BOLSA AVE
Second Line	:	SUITE Q
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-2622
Country	:	US
Telephone Number	:	714-897-8980
Fax Number	:	714-897-6991

Provider Business Practice Location Address
First Line	:	6552 BOLSA AVE
Second Line	:	SUITE Q
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-2656
Country	:	US
Telephone Number	:	714-897-8980
Fax Number	:	714-897-6991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1235368267 — HUMANE CARE 7 DAYS MEDICAL GROUP, INC
Practice Location Address:

6552 BOLSA AVE , SUITE N
HUNTINGTON BEACH, CA
92647-2656

Practice Phone: 714-898-9635
Practice Fax: 714-898-9637

1912935347 — MRS. NGA WAN WONG M.D.
Practice Location Address:

6552 BOLSA AVE , SUITE N
HUNTINGTON BEACH, CA
92647-2656

Practice Phone: 714-898-9635
Practice Fax: 714-898-9637

1942321476 — FU DENTAL CORP
Practice Location Address:

6552 BOLSA AVE STE J
HUNTINGTON BEACH, CA
92647-2656

Practice Phone: 714-540-8547
Practice Fax:

1447493523 — YOUNGHUN KIM L.AC
Practice Location Address:

6552 BOLSA AVE , SUITE G
HUNTINGTON BEACH, CA
92647-2656

Practice Phone: 714-894-1313
Practice Fax: 714-894-1616

1538465869 — ACCURO MEDICAL CENTER
Practice Location Address:

6552 BOLSA AVE , SUITE G
HUNTINGTON BEACH, CA
92647-2656

Practice Phone: 714-894-1313
Practice Fax: 714-894-1616

1881028058 — PARASTOO SALEHI DDS
Practice Location Address:

6552 BOLSA AVE STE Q
HUNTINGTON BEACH, CA
92647-2656

Practice Phone: 310-402-4623
Practice Fax:

Directions to “ DR. CHARLES CRAIG PELLETIER D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.