DR. PENWADEE LIMKANGWALMONGKOL (NPI# 1174893580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174893580 |
| Entity Type | Individual |
| Full Name | DR. PENWADEE LIMKANGWALMONGKOL |
| Credential | DDS, MS, FACP |
| Practice Address |
650 W Baltimore St Baltimore MD 21201-1510 |
| Mailing Address |
650 W.baltimore Street Baltimore MD 21201 |
| Practice Telephone | 4107068165 |
| Practice Fax Number | 4107061565 |
| Mailing Telephone | 4107068165 |
| Mailing Fax Number | 4107061565 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
58 | MD | Dental Providers |
| Street Address |
650 W BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867599 | Stewart Alan Bergman | Dentist | 650 W Baltimore St, Suite 414, Baltimore, MD 21201-1510 | 2005-08-02 |
| 1912524737 | Henry Mercer Vanderfin | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-06-26 |
| 1689298606 | Justin Gervais Milo | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-06-05 |
| 1083234215 | Jessica Rachel Berman | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-04-17 |
| 1568082741 | Ameena Osama H Jaafar | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-04-17 |
| 1780203174 | Mark Lee Harris II | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-04-15 |
| 1376170266 | Jennifer Pham Nguyen | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-03-23 |
| 1942841192 | Mohamed Mahrous Shabayek | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2019-09-30 |
| 1235798059 | Camila Coyne | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2019-06-06 |
| 1174188692 | Mason A Bahador | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770911273 | Fotini Chrisopoulos | Dentist | 11 N Eutaw St Apt 405, Baltimore, MD 21201-1794 | 2013-10-18 |
| 1124396551 | Guadalupe Garcia Fay | Dentist | 650 W Baltimore St # 4220, Baltimore, MD 21201-1510 | 2011-12-13 |
| 1548387327 | Martin R Schwartzberg | Dentist | 106 Old Court Rd, Suite 201, Baltimore, MD 21208-4038 | 2007-03-25 |
| 1417908179 | John Randolph Iddings | Dentist | Vamc 10 North Greene St, Dental Service, Baltimore, MD 21201-1524 | 2006-05-15 |
| 1609389121 | Loana Maiella Tovar Suinaga | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2017-11-06 |
| 1730581554 | Negar Homayounfar | Dentist | 650 West Baltimore Street, University of Maryland Dental School, Baltimore, MD 21201 | 2014-09-24 |
| 1699189886 | Dima Ghunaim | Dentist | 650 W Baltimore St Ste 1401, Baltimore, MD 21201-1510 | 2014-06-16 |
| 1669802054 | Ismail Okasha | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2013-11-20 |
| 1275888281 | Elias M Rivera | Dentist | 650 W Baltimore St, Faculty Dental Practice, Baltimore, MD 21201-1510 | 2012-07-16 |
| 1942575964 | Maryland Prosthodontic Associates, PC | Dentist | 6569 N Charles St, Physicians Pavilion West, Suite 601, Baltimore, MD 21204-6831 | 2012-03-09 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.