Individual provider · Type 1 NPI
Pournawattie Andrea Chandradatt, DDS
General Practice Dentistry · Bloomington, MN
NPI number
1972162527
Active
Practice location
7936 Portland Ave S
Bloomington, MN 55420-1315
Mailing address
15769 Wyoming Ave
Savage, MN 55378-6627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D14249 (MN) |
General Practice Dentistry: 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.
3 other providers at this address
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- Joan Buehrer, DDSGeneral Practice Dentistry Bloomington, MN NPI 1073716114
- Kenneth Alyn Kokkinen, DDSGeneral Practice Dentistry Bloomington, MN NPI 1083783831
- Jordan Louise Gardner, DDSGeneral Practice Dentistry Bloomington, MN NPI 1093490120
- Renee Jean Lehn, DDSGeneral Practice Dentistry Bloomington, MN NPI 1093837676
About NPI 1972162527
Pournawattie Andrea Chandradatt, DDS's National Provider Identifier is 1972162527, issued on Jun 7, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bloomington, MN. The record was last updated on Jun 7, 2019.