DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

POURNAWATTIE ANDREA CHANDRADATT, DDS

Active

POURNAWATTIE ANDREA CHANDRADATT, DDS is a General Dentistry healthcare provider located in BLOOMINGTON, Minnesota. NPI 1972162527 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BLOOMINGTON, MN

Registration Details

NPI Number
1972162527
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2019 (7.202713978154 yrs)
Last Updated
Jun 7, 2019
License
D14249 (MN)

Practice Information

Address
7936 PORTLAND AVE S
BLOOMINGTON, MN, 554201315
Browse MN providers · Browse ZIP 55420
Phone
7636008613
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in BLOOMINGTON, MN

Name Credential NPI
DR. M. LAWRENCE SCHROEDER DDS 1326039942
MITCHELL B OLSON DDS PA 1922041730
DR. GREG T WALLING D.D.S. 1245241512
DR. MICHAEL B MCGOWAN DDS 1992816755
DR. GERALD A BROST DDS 1023111549
DR. VINCENT J RIEHM DDS 1124126289
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.