TEERARAT NEAL PHUATRAKOON
NPI 1194619155
Dentist - Periodontics in Roseville, CA
- Individual
- Male
- Dentist
- Periodontics
- Accepts Insurance
About TEERARAT PHUATRAKOON
This page provides the complete NPI Profile along with additional information for Teerarat Phuatrakoon, a provider established in Roseville, California with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1194619155 assigned on June 2025. The practitioner's primary taxonomy code is 1223P0300X with license number DDS107567 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1194619155 Verify this NPI
- Provider Name
- TEERARAT NEAL PHUATRAKOON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1623 SANTA CLARA DR STE 100 ROSEVILLE, CA 95661
- Location Phone
- (916) 788-1114
- Mailing Address
- PO BOX 1266 RANCHO CUCAMONGA, CA 91729
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2025
- Last Update Date
- 11-24-2025
- Code Navigator
A dentist like Teerarat Phuatrakoon is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- DDS107567
- License State
- CA
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 8500 for HSA - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Essential (+ Incentives) - HMO
- Anthem Catastrophic Pathway (+ Incentives) - EPO
- Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194619155, enumerated as an "individual" on June 04, 2025.
The provider is located at 1623 SANTA CLARA DR STE 100 ROSEVILLE, CA 95661 and the phone number is (916) 788-1114.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Humana. Please consult your insurance carrier or call the provider to verify.
