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DR. LISA KAY PORAPAIBOON D.D.S. NPI 1902026412


NPI Information

NPI: 1902026412
Provider Name: DR. LISA KAY PORAPAIBOON, D.D.S.
Classification: Dentist - 122300000X
Entity Type: Individual
Address:
3012 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (303) 587-6498
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DR. Lisa Kay Porapaiboon, D.D.S. is a dentist in Chicago, IL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. Lisa Kay Porapaiboon, D.D.S. NPI is 1902026412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3012 W FULLERTON AVE
CHICAGO, IL
ZIP 60647-808
Phone: (303) 587-6498
Fax: (773) 384-3500

The enumeration date for this NPI number is 4/26/2007 and was last updated on 5/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist8761COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
198608771MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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