Dr. Gideon Prasanth Kodali is a Portland, Oregon based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gideon Prasanth Kodali is D11813 for Dentistry in Oregon. His current practice location is 15715 Nw Central Dr Ste 7, Portland. Patients can reach him at 503-610-4038.
Dr. Gideon Prasanth Kodali is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gideon Prasanth Kodali speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Gideon Prasanth Kodali
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
15715 Nw Central Dr Ste 7, Portland, Oregon, 97229-1267
Phone:
503-610-4038
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1194403485
NPI Enumeration Date:
07 Jul, 2023
NPI Last Update On:
07 Jul, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gideon Prasanth Kodali are as mentioned below.
License Number
Specialization
State
Status
D11813
Dentistry
Oregon
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6334 Se Imagine Way, Hillsboro, Oregon
Zip:
97123-5059
Phone Number:
270-363-5624
Patients can reach Dr. Gideon Prasanth Kodali at 15715 Nw Central Dr Ste 7, Portland, Oregon or can call to book an appointment on 503-610-4038. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.