SUSMITHA RAO KOTI DDS NPI 1578878435

NPI Information

NPI: 1578878435
Provider Name: SUSMITHA RAO KOTI, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
1740 W 17TH AVE
EUGENE, OR
ZIP 97402
Phone: (458) 210-3543
Get Directions

Susmitha Rao Koti, DDS is a pediatric dentistry dentist in Eugene, OR. The provider is 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. Susmitha Rao Koti, DDS NPI is 1578878435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1740 W 17TH AVE
EUGENE, OR
ZIP 97402-619
Phone: (458) 210-3543

The NPI 1578878435 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/16/2010 and was last updated on 8/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DN014164	GEORGIA	No
2	1223G0001X	Dentist	General Practice	27635	TEXAS	No
3	1223P0221X	Dentist	Pediatric Dentistry	D11308	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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