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DR. PRANEE V POOUDOMSAK
NPI 1750687984
Dentist in San Bernardino, CA

Active since February 05, 2011
1850 S WATERMAN AVE STE B, SAN BERNARDINO, CA 92408(909) 890-1529(909) 890-1739 Get Directions Write a Review

NPPES record last updated: February 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pranee V Pooudomsak NPPES

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

DR. PRANEE V POOUDOMSAK (NPI 1750687984) is an individual dentist in San Bernardino, California, licensed in California (38764) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1750687984
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. PRANEE V POOUDOMSAK
Location Address1850 S WATERMAN AVE STE BSan Bernardino, CA 92408-2852
Mailing Address1850 S Waterman Ave Ste BSan Bernardino, CA 92408-2852 · (909) 890-1529 · Fax (909) 890-1739
Phone(909) 890-1529
Fax(909) 890-1739
Sole ProprietorYes
Enumeration DateFebruary 5, 2011
✔ NPI 1750687984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 38764
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1850 S WATERMAN AVE STE B, San Bernardino, CA 92408
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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.

JOHNATHAN HYUN KIM DDS, INC.
Clinic/Center (Dental)
1850 S WATERMAN AVE STE B
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-1529

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 Pranee Pooudomsak's NPI number?

The NPI number for Pranee Pooudomsak is 1750687984. It was assigned to this individual provider in the NPPES registry on February 5, 2011.

Where is Pranee Pooudomsak located?

Pranee Pooudomsak practices at 1850 S Waterman Ave Ste B, San Bernardino, CA 92408. The listed phone number is (909) 890-1529.

What is Pranee Pooudomsak's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pranee Pooudomsak accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Pranee Pooudomsak 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 Pranee Pooudomsak was last updated on February 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.