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Megan Hanvivatpong, DDS
NPI 1891295523 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1321 Nw Saint Lucie West Blvd
Port St Lucie, FL 34986 - Phone
- (772) 343-0179
- Organisation at this address
- Coast Dental P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 760 Broadway # 2c319, Brooklyn, NY
- 701 N Broadway, Sleepy Hollow, NY
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-15
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