Search › Florida › 1223G0001X
Phennatda Polpornvitoon
NPI 1568082030 · on the registry since 2020
Practice
- Address
- 18000 Toledo Blade Blvd
Port Charlotte, FL 33948 - Phone
- (941) 740-8598
- Organisation at this address
- Associates In Dentistry
West Coast Dental Partners
Toledo Blade Family Dentistry
Charlotte Family Dentistry LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 801 S Paulina St Rm 110, Chicago, IL
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida