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Prashant Gagneja, BDS,MDS
Pediatric Dentist in Portland, Oregon
NPI 1194800177

Prashant Gagneja is a Pediatric Dentist based in Vancouver, OR and is specialized in Pediatric Dentistry. Prashant Gagneja practices in Portland, OR and has the professional credentials of BDS,MDS. The NPI Number for Prashant Gagneja is 1194800177 and holds a License No. DF0017 (Oregon).

The current practice location address for Prashant Gagneja is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8914.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 98683-1417
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Provider Profile Details
NPI Number
1194800177
Provider Name
Prashant Gagneja
Credential
BDS,MDS
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 98683-1417
Phone Number
503-494-8914
Fax Number
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022774 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8914
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8914
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DF0017 (Oregon)
Definition
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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