Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. POONGKODI KANNAN, B.D.S., D.D.S.
ActiveDR. POONGKODI KANNAN, B.D.S., D.D.S. is a Dental Public Health healthcare provider located in CAVE JUNCTION, Oregon. NPI 1528164563 is currently active in the NPPES registry. Verify at CMS.
Dental Public Health · CAVE JUNCTION, OR
Registration Details
- NPI Number
- 1528164563
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2006 (19.727405231989 yrs)
- Last Updated
- Oct 6, 2021
- Licenses
-
D9043 (OR)D9043 (OR)
Practice Information
- Address
-
25647 REDWOOD HWYCAVE JUNCTION, OR, 975239332Browse OR providers · Browse ZIP 97523
- Phone
- 5415924111
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.