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

Individual provider Dentist · NPI 1982766689

Yutdhasak Kjornrattanawanich, DMD is a Dentist in Bristol, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1128 Farmington Ave
Bristol, CT 06010-4752
Phone: (860) 585-1716
Fax: (860) 585-1758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9427 (CT)

Record details

NPI number1982766689
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 16, 2006
Last updated in NPPESJuly 8, 2007

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