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Pongsakorn Poovarodom, DDS, MSC, PHD
NPI 1558199257 · Prosthodontics · Charleston, SC
Pongsakorn Poovarodom, DDS, MSC, PHD is a Prosthodontics provider in Charleston, SC (NPI 1558199257).
Provider details
- NPI number
- 1558199257
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS, MSC, PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 60 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
173 Ashley Ave # Msc507
Charleston, SC 29425-8908
Phone: (843) 792-3811
Street-level locationGet directions
Mailing address
3489 Billings St
Mount Pleasant, SC 29466-6882
Registry dates
- Enumerated
- 2024-07-24
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Frequently asked questions
- What is Pongsakorn Poovarodom's NPI number?
- Pongsakorn Poovarodom's National Provider Identifier (NPI) is 1558199257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pongsakorn Poovarodom's specialty?
- Pongsakorn Poovarodom is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is Pongsakorn Poovarodom located?
- Pongsakorn Poovarodom's practice location on file with NPPES is 173 Ashley Ave # Msc507, Charleston, SC 29425-8908.
- What is Pongsakorn Poovarodom's phone number?
- The practice phone number listed in the NPPES registry for Pongsakorn Poovarodom is (843) 792-3811.
- Is Pongsakorn Poovarodom's NPI active?
- Yes — Pongsakorn Poovarodom's NPI (1558199257) is active in the NPPES registry as of the last update on 2024-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.