YUTDHASAK KJORNRATTANAWANICH DMD
NPI 1982766689
Dentist in Bristol, CT

Q: What is Yutdhasak Kjornrattanawanich's NPI number?

The NPI number for Yutdhasak Kjornrattanawanich is 1982766689. It was assigned to this individual provider in the NPPES registry on December 16, 2006.

Q: What is Yutdhasak Kjornrattanawanich's specialty?

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

Active since December 16, 2006PECOS Enrolled

1128 FARMINGTON AVE, BRISTOL, CT 06010(860) 585-1716(860) 585-1758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Yutdhasak Kjornrattanawanich Dmd NPPES

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

YUTDHASAK KJORNRATTANAWANICH DMD (NPI 1982766689) is an individual dentist in Bristol, Connecticut, licensed in Connecticut (9427) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982766689

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameYUTDHASAK KJORNRATTANAWANICHCredential: DMD

Location Address1128 FARMINGTON AVEBristol, CT 06010-4752

Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (315) 454-6000 · Fax (315) 454-8650

Phone(860) 585-1716

Fax(860) 585-1758

Sole ProprietorYes

Enumeration DateDecember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1982766689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CT · 9427

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.

1128 FARMINGTON AVE, Bristol, CT 06010

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yutdhasak Kjornrattanawanich Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ASPEN DENTAL OF GREATER HARTFORD, PC

Dentist (General Practice)

1128 FARMINGTON AVE
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 585-1716

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 Yutdhasak Kjornrattanawanich's NPI number?

The NPI number for Yutdhasak Kjornrattanawanich is 1982766689. It was assigned to this individual provider in the NPPES registry on December 16, 2006.

Where is Yutdhasak Kjornrattanawanich located?

Yutdhasak Kjornrattanawanich practices at 1128 Farmington Ave, Bristol, CT 06010. The listed phone number is (860) 585-1716.

What is Yutdhasak Kjornrattanawanich's specialty?

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

Is Yutdhasak Kjornrattanawanich enrolled in Medicare?

Yes. Yutdhasak Kjornrattanawanich is registered in the Medicare PECOS enrollment system.

What insurance does Yutdhasak Kjornrattanawanich 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 Yutdhasak Kjornrattanawanich 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 Yutdhasak Kjornrattanawanich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.