1. Home
  2. Directory
  3. Florida
  4. Port Charlotte
  5. Dentist
  6. NPI Profile

PHENNATDA POLPORNVITOON
NPI 1568082030
Dentist - General Practice in Port Charlotte, FL

Active since April 24, 2020
18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33948(941) 740-8598 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2022, Jul 26, 2020, Apr 24, 2020 (3 updates tracked since 2020).

About Phennatda Polpornvitoon NPPES

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

PHENNATDA POLPORNVITOON (NPI 1568082030) is an individual general practice provider in Port Charlotte, Florida, licensed in Florida (DN25388) and active in the NPI registry since April 2020. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1568082030
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePHENNATDA POLPORNVITOON
Location Address18000 TOLEDO BLADE BLVDPort Charlotte, FL 33948-1980
Mailing Address18000 Toledo Blade BlvdPort Charlotte, FL 33948-1980 · (954) 383-8362
Phone(941) 740-8598
Sole ProprietorNo
Enumeration DateApril 24, 2020
Last NPPES UpdateJune 10, 20223 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
✔ NPI 1568082030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN25388
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License DN25388 (FL)
18000 TOLEDO BLADE BLVD, Port Charlotte, FL 33948
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 S Paulina St Rm 110Chicago, IL 60612-7210 · Phone (312) 996-1052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

ASSOCIATES IN DENTISTRY
Dentist
18000 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33948
Charlotte County (941) 624-4000
TOLEDO BLADE FAMILY DENTISTRY
Dentist (General Practice)
18000 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33948
Charlotte County (941) 624-4000
CHARLOTTE FAMILY DENTISTRY LLC
Dentist (General Practice)
18000 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33948
Charlotte County (941) 624-4000
WEST COAST DENTAL PARTNERS
Dentist (General Practice)
18000 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33948
Charlotte County (941) 231-7747
RAMON ERBELLA OCANA DMD
Dentist (General Practice)
18000 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33948
Charlotte County (727) 295-0062

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 Phennatda Polpornvitoon's NPI number?

The NPI number for Phennatda Polpornvitoon is 1568082030. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Phennatda Polpornvitoon located?

Phennatda Polpornvitoon practices at 18000 Toledo Blade Blvd, Port Charlotte, FL 33948. The listed phone number is (941) 740-8598.

What is Phennatda Polpornvitoon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Phennatda Polpornvitoon accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Phennatda Polpornvitoon 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 Phennatda Polpornvitoon was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.