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Contact Information

TEERACHAI SUPAKORNDEJ
8106 BRODIE LANE 108
AUSTIN, TX78745
 Phone: 512-351-9313
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TEERACHAI SUPAKORNDEJ · (Male)

NPI # 1083953814
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2013
Last updated 08/29/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 28588
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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