Phennatda Polpornvitoon is a Port Charlotte, Florida based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Phennatda Polpornvitoon is DN25388 for General Practice Dentistry in Florida. Her current practice location is 18000 Toledo Blade Blvd, Port Charlotte. Patients can reach her at 941-740-8598.
Phennatda Polpornvitoon is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Phennatda Polpornvitoon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Phennatda Polpornvitoon
Specialization:
Dentist
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
18000 Toledo Blade Blvd, Port Charlotte, Florida, 33948-1980
Phone:
941-740-8598
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1568082030
NPI Enumeration Date:
24 Apr, 2020
NPI Last Update On:
10 Jun, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phennatda Polpornvitoon are as mentioned below.
License Number
Specialization
State
Status
DN25388
General Practice Dentistry
Florida
Primary
DN25388
Dentistry
Florida
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
18000 Toledo Blade Blvd, Port Charlotte, Florida
Zip:
33948-1980
Phone Number:
954-383-8362
Patients can reach Phennatda Polpornvitoon at 18000 Toledo Blade Blvd, Port Charlotte, Florida or can call to book an appointment on 941-740-8598. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.