Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teerarat Neal Phuatrakoon

Individual provider Periodontics · NPI 1194619155

Teerarat Neal Phuatrakoon is a Periodontics in Roseville, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1623 Santa Clara Dr Ste 100
Roseville, CA 95661-3589
Phone: (916) 788-1114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DDS107567 (CA)

Record details

NPI number1194619155
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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