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Susmitha Rao Koti, DDS
Pediatric Dentist in Eugene, Oregon
NPI 1578878435

Susmitha Rao Koti is a Pediatric Dentist based in Marietta, OR and is specialized in Pediatric Dentistry. Susmitha Rao Koti practices in Eugene, OR and has the professional credentials of DDS. The NPI Number for Susmitha Rao Koti is 1578878435 and holds a License No. 27635 (Oregon).

The current practice location address for Susmitha Rao Koti is 1740 W 17Th Ave, Eugene, OR and can be reached out via phone at 458-210-3543. You can also correspond with Susmitha Rao Koti through the mailing address at 1090 NORTHCHASE PKWY SE, MARIETTA, GA - 30067-6405 (mailing address contact number: 678-904-5665).

Location: 1740 W 17Th Ave, Eugene, OR, 30067-6405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578878435
Provider Name
Susmitha Rao Koti
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1740 W 17Th Ave, Eugene, OR, 30067-6405
Phone Number
458-210-3543
Fax Number
Provider Enumeration Date
08/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1740 W 17Th Ave
City
Eugene
State
Oregon
Zip
97402-3619
Phone Number
458-210-3543
Fax Number
person
Provider Business Mailing Address Details
Address
1740 W 17Th Ave
City
Eugene
State
Oregon
Zip
97402-3619
Phone Number
458-210-3543
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN014164 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
27635 (Texas)
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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