Gideon Prasanth Kodali, DMD
NPI 1194403485 · on the registry since 2023
Practice
- Address
- 15715 Nw Central Dr Ste 7
Portland, OR 97229 - Phone
- (503) 610-4038
- Organisation at this address
- Td Bethany Gps Llc
Timber Dental BethanyInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon