person
Prashant Charugundla, DDS
Oral and Maxillofacial Surgery (Dentist) in Norfolk, Virginia
NPI 1700317401

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

The current practice location address for Prashant Charugundla is 301 Riverview Ave Ste 3, Norfolk, VA and can be reached out via phone at 757-668-7713 and via fax at 757-668-7711. You can also correspond with Prashant Charugundla through the mailing address at 5880 NE CORNELL RD, HILLSBORO, OR - 97124-9075 (mailing address contact number: 503-420-3997).

Location: 301 Riverview Ave Ste 3, Norfolk, VA, 97124-9075
person
Provider Profile Details
NPI Number
1700317401
Provider Name
Prashant Charugundla
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
301 Riverview Ave Ste 3, Norfolk, VA, 97124-9075
Phone Number
757-668-7713
Fax Number
757-668-7711
Provider Enumeration Date
03/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Riverview Ave Ste 3
City
State
Zip
23510-1065
Phone Number
757-668-7713
Fax Number
757-668-7711
person
Provider Business Mailing Address Details
Address
301 Riverview Ave Ste 3
City
State
Zip
23510-1065
Phone Number
757-668-7713
Fax Number
757-668-7711
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D11891 (Oregon)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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