Individual provider · Type 1 NPI
Gideon Prasanth Kodali, DMD
Dentist · Portland, OR
Practice location
15715 NW Central Dr Ste 7
Portland, OR 97229-1267
Mailing address
6334 SE Imagine Way
Hillsboro, OR 97123-5059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | D11813 (OR) |
Dentist: 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 requiremen…
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About NPI 1194403485
Gideon Prasanth Kodali, DMD's National Provider Identifier is 1194403485, issued on Jul 7, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Jul 7, 2023.