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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRASHANT CHARUGUNDLA, DDS

Active

PRASHANT CHARUGUNDLA, DDS is a Oral & Maxillofacial Surgery healthcare provider located in PORTLAND, Oregon. NPI 1700317401 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PORTLAND, OR

Registration Details

NPI Number
1700317401
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2017 (9.4203592865491 yrs)
Last Updated
Nov 6, 2024
Licenses
0401418116 (VA)
0438000474 (VA)
D11891 (OR)

Practice Information

Address
3332 N LOMBARD ST STE C
PORTLAND, OR, 972171258
Browse OR providers · Browse ZIP 97217
Phone
5035482006
Fax
5035482012
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in PORTLAND, OR

Name Credential NPI
DR. JULIE ANN SMITH DDS, MD 1972588374
KIM K ERICKSON DMD, MD 1881674042
PAMELA J HUGHES DDS 1497727911
DR. ROBERT SMITH DMD 1841250545
JEFFERY C.B. STEWART DDS 1639131089
CYNTHIA KLEINEGGER DDS 1366404717
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.