Individual provider · Type 1 NPI

Susmitha Rao Koti, DDS

Pediatric Dentistry · Eugene, OR

NPI number 1578878435 Active

Practice location

1740 W 17th Ave
Eugene, OR 97402-3619

Call (458) 210-3543 Map

Mailing address

1090 Northchase Pkwy SE, Suite 290
Marietta, GA 30067-6405

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X27635 (TX)
General Practice Dentistry 1223G0001XDN014164 (GA)
Pediatric Dentistry Primary 1223P0221XD11308 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1578878435

Susmitha Rao Koti, DDS's National Provider Identifier is 1578878435, issued on Aug 16, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Eugene, OR. The record was last updated on Aug 27, 2020.