Doctor profile · Federal record
Dr. Phennatda Polpornvitoon
General Practice Dentistry · Dentist · Port Charlotte, FL
- NPI 1568082030
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
18000 Toledo Blade Blvd
Port Charlotte, FL 339481980
(941) 740-8598 - Additional location
-
801 S Paulina St Rm 110
Chicago, IL 606127210
(312) 996-1052
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- June 10, 2022
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Florida #DN25388
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568082030. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$424
Transactions
12
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 11 | $404.30 | |
| OraPharma, A Division of Bausch Health US, LLC | 1 | $19.38 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
219
Patients
147
Total drug cost
$597
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 189 | 130 | $485 |
| Ibuprofen | Generic | 17 | 17 | $50 |
| Clindamycin Hcl | Generic | 13 | 0 | $62 |
Frequently asked questions
What is Dr. Phennatda Polpornvitoon's medical specialty?
Dr. Phennatda Polpornvitoon practices General Practice Dentistry in Port Charlotte, FL.
Where does Dr. Phennatda Polpornvitoon practice?
Dr. Phennatda Polpornvitoon practices at 18000 Toledo Blade Blvd, Port Charlotte, FL 339481980. Office phone: 9417408598.
What is Dr. Phennatda Polpornvitoon's NPI?
Dr. Phennatda Polpornvitoon's National Provider Identifier (NPI) is 1568082030, issued by NPPES.