Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pournawattie Andrea Chandradatt, DDS

Individual provider General Practice Dentistry · NPI 1972162527

Pournawattie Andrea Chandradatt, DDS practises General Practice Dentistry in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7936 Portland Ave S
Bloomington, MN 55420-1315
Phone: (763) 600-8613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D14249 (MN)

Record details

NPI number1972162527
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESJune 7, 2019

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