Prashant Charugundla, DDS - Portland, OR

Prashant Charugundla, DDS

Oral and Maxillofacial Surgery (Dentist) in Portland, Oregon

NPI 1700317401

Prashant Charugundla is a Oral and Maxillofacial Surgery (Dentist) based in Portland, OR and is specialized in Oral and Maxillofacial Surgery. Prashant Charugundla practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Prashant Charugundla is 1700317401 and holds a License No. 0401418116 (Oregon).

The current practice location address for Prashant Charugundla is 3332 N Lombard St Ste C, Portland, OR and can be reached out via phone at 503-548-2006 and via fax at 503-548-2012.

Location: 3332 N Lombard St Ste C, Portland, OR, 97217-1258

NPI Number

1700317401

Provider Name

Prashant Charugundla

Credential

DDS

Provider Entity Type

Individual

Gender

Male

Address

3332 N Lombard St Ste C, Portland, OR, 97217-1258

Phone Number

503-548-2006

Fax Number

503-548-2012

Provider Enumeration Date

03/23/2017

Last Update Date

11/16/2024

Address

3332 N Lombard St Ste C

City

Portland

State

Oregon

Zip

97217-1258

Phone Number

503-548-2006

Fax Number

503-548-2012

Address

3332 N Lombard St Ste C

City

Portland

State

Oregon

Zip

97217-1258

Phone Number

503-548-2006

Fax Number

503-548-2012

Type

Dental Providers

Classification

Dentist

Speciality

Oral and Maxillofacial Surgery

Taxonomy

1223S0112X

License No.

0438000474 (Virginia)

Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

0401418116 (Virginia)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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