DR. PONGSAKORN POOVARODOM DDS, MSC, PHD
NPI 1558199257
Dentist - Prosthodontics in Charleston, SC

Q: What is Pongsakorn Poovarodom's NPI number?

The NPI number for Pongsakorn Poovarodom is 1558199257. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Q: What is Pongsakorn Poovarodom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since July 24, 2024

173 ASHLEY AVE # MSC507, CHARLESTON, SC 29425(843) 792-3811 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Pongsakorn Poovarodom Dds, Msc, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PONGSAKORN POOVARODOM DDS, MSC, PHD (NPI 1558199257) is an individual prosthodontics provider in Charleston, South Carolina, licensed in South Carolina (60) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1558199257

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. PONGSAKORN POOVARODOMCredential: DDS, MSC, PHD

Location Address173 ASHLEY AVE # MSC507Charleston, SC 29425-8908

Mailing Address3489 Billings StMount Pleasant, SC 29466-6882 · (854) 858-2195

Phone(843) 792-3811

Sole ProprietorYes

Enumeration DateJuly 24, 2024

NPPES CertifiedJuly 24, 2024

✔ NPI 1558199257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in SC · 60

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

173 ASHLEY AVE # MSC507, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLYSON MARIE LUTGRING DDS

Dentist (Pediatric Dentistry)

173 ASHLEY AVE # MSC507
CHARLESTON, SC 29425

Charleston County (843) 792-3916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pongsakorn Poovarodom's NPI number?

The NPI number for Pongsakorn Poovarodom is 1558199257. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Pongsakorn Poovarodom located?

Pongsakorn Poovarodom practices at 173 Ashley Ave # Msc507, Charleston, SC 29425. The listed phone number is (843) 792-3811.

What is Pongsakorn Poovarodom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Pongsakorn Poovarodom accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of South Carolina list Pongsakorn Poovarodom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pongsakorn Poovarodom was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.