Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PONGSAKORN POOVARODOM DDS, MSC, PHD
NPI 1558199257
Dentist - Prosthodontics in Gainesville, FL

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

1395 CENTER DRIVE, GAINESVILLE, FL 32610(854) 858-2195 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, Jul 24, 2024 (2 updates tracked since 2024).

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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 Gainesville, Florida, licensed in Florida (884) and active in the NPI registry since July 2024. He maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1558199257

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

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

Location Address1395 CENTER DRIVEGainesville, FL 32610-0415

Mailing AddressPo Box 100415Gainesville, FL 32610-0415 · (854) 858-2195

Phone(854) 858-2195

Sole ProprietorYes

Enumeration DateJuly 24, 2024

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

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

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

Licenses✔ Licensed in FL · 884✔ 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.

1395 CENTER DRIVE, Gainesville, FL 32610

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Secondary Practice Location 1

Location 1173 Ashley Ave # Msc507Charleston, SC 29425-8908 · Phone (843) 792-3811

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 9

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

DR. NATHALIA VILELA SOUZA

Dentist (Periodontics)

1395 CENTER DRIVE, ROOM D1-19
GAINESVILLE, FL 32610

Alachua County (352) 273-7846

DR. JOSEPH GREGORY KVINT DDS

Student in an Organized Health Care Education/Training Program

1395 CENTER DRIVE, D1-31
GAINESVILLE, FL 32610

Alachua County (352) 273-7800

REHANA GLADYS KOILPILLAI-CASTRO DMD

Student in an Organized Health Care Education/Training Program

1395 CENTER DRIVE
GAINESVILLE, FL 32610

Alachua County (352) 273-7960

MACEY MARTIN DMD

Student in an Organized Health Care Education/Training Program

1395 CENTER DRIVE
GAINESVILLE, FL 32610

Alachua County (352) 273-5651

PATRICIA NOBREGA RODRIGUES PEREIRA D.D.S., PHD

Dentist (General Practice)

1395 CENTER DRIVE, ROOM D9-6
GAINESVILLE, FL 32610

Alachua County (352) 273-5850

DR. FARAH ELNAQA BDS

Student in an Organized Health Care Education/Training Program

1395 CENTER DRIVE
GAINESVILLE, FL 32610

Alachua County (352) 273-6705

MR. PANAGIOTIS ZOIDIS DDS,MS,PHD

Dentist (Prosthodontics)

1395 CENTER DRIVE, ROOM D1-11
GAINESVILLE, FL 32610

Alachua County (352) 273-7962

DR. JENNIE G ROMERO D.M.D. MSC.

Dentist (General Practice)

1395 CENTER DRIVE
GAINESVILLE, FL 32610

Alachua County (352) 273-5850

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 1395 Center Drive, Gainesville, FL 32610. The listed phone number is (854) 858-2195.

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 August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.