| PP SD Dentistry LLC | |
|
4333 S Tamiami Trl Ste D Sarasota FL 34231-3461 | |
| (941) 415-9779 | |
| (941) 415-9780 |
| Full Name | PP SD Dentistry LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4333 S Tamiami Trl Ste D, Sarasota, Florida |
| Authorized Official Name and Position | Phennatda Polpornvitoon (OWNER) |
| Authorized Official Contact | 9543838362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| PP SD Dentistry LLC 6951 Scrub Jay Dr Sarasota FL 34241-5223 Ph: (954) 383-8362 | PP SD Dentistry LLC 4333 S Tamiami Trl Ste D Sarasota FL 34231-3461 Ph: (941) 415-9779 |
| NPI Number | 1265355788 |
|---|---|
| Provider Enumeration Date | 08/01/2026 |
| Last Update Date | 08/01/2026 |
| Certification Date | 08/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265355788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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