Yutdhasak Kjornrattanawanich, DMD
Dentist in Bristol, Connecticut
1982766689- Practice location
- 1128 Farmington Ave, Bristol, CT 06010-4752
- Phone
- 860-585-1716
- Fax
- 860-585-1758
- Last updated
- July 8, 2007
Yutdhasak Kjornrattanawanich is a Dentist based in Bristol, CT. Yutdhasak Kjornrattanawanich practices in Bristol, CT and has the professional credentials of DMD. The NPI Number for Yutdhasak Kjornrattanawanich is 1982766689 and holds a License No. 9427 (CT). The current practice location address for Yutdhasak Kjornrattanawanich is 1128 Farmington Ave, Bristol, CT 06010-4752 and can be reached out via phone at 860-585-1716 and via fax at 860-585-1758.
Provider Profile Details
- NPI Number
- 1982766689
- Provider Name
- Yutdhasak Kjornrattanawanich
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1128 Farmington Ave, Bristol, CT 06010-4752
- Phone Number
- 860-585-1716
- Fax Number
- 860-585-1758
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 16, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1128 Farmington Ave
Bristol, CT 06010-4752 - City
- Bristol
- State
- Connecticut
- Zip
- 06010-4752
- Phone Number
- 860-585-1716
- Fax Number
- 860-585-1758
Provider Business Mailing Address Details
- Address
- Po Box 3189
Syracuse, NY 13220-3189 - City
- Syracuse
- State
- NY
- Zip
- 13220-3189
- Phone Number
- 315-454-6000
- Fax Number
- 315-454-8650
License Information
- License Number
- 9427
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Bristol, CT
View all Dentists in Bristol →Frequently Asked Questions
What is the NPI number of Yutdhasak Kjornrattanawanich, DMD?
The NPI number of Yutdhasak Kjornrattanawanich, DMD is 1982766689. It was assigned on December 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Yutdhasak Kjornrattanawanich, DMD?
Yutdhasak Kjornrattanawanich, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 9427.
Where does Yutdhasak Kjornrattanawanich, DMD practice?
The practice location is 1128 Farmington Ave, Bristol, CT 06010-4752. The office can be reached at 860-585-1716 (phone) or 860-585-1758 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982766689 directly on the NPPES registry website.