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POURNAWATTIE ANDREA CHANDRADATT DDS
NPI 1972162527
Dentist - General Practice in Bloomington, MN

Active since June 07, 2019
7936 PORTLAND AVE S, BLOOMINGTON, MN 55420(763) 600-8613 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pournawattie Andrea Chandradatt Dds NPPES

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

POURNAWATTIE ANDREA CHANDRADATT DDS (NPI 1972162527) is an individual general practice provider in Bloomington, Minnesota, licensed in Minnesota (D14249) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1972162527
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePOURNAWATTIE ANDREA CHANDRADATTCredential: DDS
Location Address7936 PORTLAND AVE SBloomington, MN 55420-1315
Mailing Address15769 Wyoming AveSavage, MN 55378-6627 · (612) 803-7113
Phone(763) 600-8613
Sole ProprietorNo
Enumeration DateJune 7, 2019
✔ NPI 1972162527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14249
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.
7936 PORTLAND AVE S, Bloomington, MN 55420
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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, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

JUSTIN NWOSU
Dentist
7936 PORTLAND AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 852-7776
ASPEN BLOOM, PLLC
Dentist (General Practice)
7936 PORTLAND AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 852-7776

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 Pournawattie Chandradatt's NPI number?

The NPI number for Pournawattie Chandradatt is 1972162527. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Pournawattie Chandradatt located?

Pournawattie Chandradatt practices at 7936 Portland Ave S, Bloomington, MN 55420. The listed phone number is (763) 600-8613.

What is Pournawattie Chandradatt's specialty?

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

What insurance does Pournawattie Chandradatt accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Pournawattie Chandradatt 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 Pournawattie Chandradatt was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.