Phennatda Polpornvitoon
Dental Public Health
801 S Paulina St Rm 110
Chicago
, Illinois 60612-7210
Phennatda Polpornvitoon
Dental Public Health
801 S Paulina St Rm 110
Chicago
, Illinois 60612-7210
(312) 996-1052
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Phennatda Polpornvitoon
- 801 S Paulina St Rm 110
- Chicago, IL
- Zip : 60612-7210
- Phone : (312) 996-1052
Second Address
- Phennatda Polpornvitoon
- 801 S Paulina St Rm 110
- Chicago, IL
- Zip : 60612-7210
- Phone : (312) 996-1052
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FAQs
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What type of doctor is Phennatda Polpornvitoon
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Is Phennatda Polpornvitoon a sole practitioner?
Is Phennatda Polpornvitoon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 018.002156 | IL |
National Provider Identifier
| NPI | 1568082030 |
|---|---|
| Provider Name | Phennatda Polpornvitoon |
| First Address | Chicago, IL 60612-7210 |
| Second Address | Chicago, IL 60612-7210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2020 |
| Last Update Date | 26/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.