Dr. Poongkodi Kannan
Dental Public Health Dentist - General Practice
25647 Redwood Hwy
Cave Junction
, Oregon 97523-9332
Dr. Poongkodi Kannan
Dental Public Health Dentist - General Practice
25647 Redwood Hwy
Cave Junction
, Oregon 97523-9332
(541) 479-6489
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Poongkodi Kannan
- 1701 Nw Hawthorne Ave
- Grants Pass, OR
- Zip : 97526-1051
- Fax : (541) 479-6489
- Phone : (541) 479-6393
Second Address
- Dr. Poongkodi Kannan
- 25647 Redwood Hwy
- Cave Junction, OR
- Zip : 97523-9332
- Phone : (541) 592-4111
Reviews
FAQs
Where did Dr. Poongkodi Kannan attend graduate school?
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Where did Dr. Poongkodi Kannan do her fellowship?
Is Dr. Poongkodi Kannan board certified?
What type of doctor is Dr. Poongkodi Kannan
In what state does Dr. Poongkodi Kannan practice in?
Where is Dr. Poongkodi Kannan ’s practice located?
What is Dr. Poongkodi Kannan ’s gender?
Is Dr. Poongkodi Kannan a sole practitioner?
Is Dr. Poongkodi Kannan accepting new patients?
What languages does Dr. Poongkodi Kannan speak?
Does Dr. Poongkodi Kannan accept insurance?
Does Dr. Poongkodi Kannan offers telemedicine?
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Does Dr. Poongkodi Kannan have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | D9043 | OR |
| N | 1223G0001X | General Practice | D9043 | OR |
| N | 213EG0000X | General Practice | D9043 | OR |
National Provider Identifier
| NPI | 1528164563 |
|---|---|
| Provider Name | Dr. Poongkodi Kannan |
| First Address | Grants Pass, OR 97526-1051 |
| Second Address | Cave Junction, OR 97523-9332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2006 |
| Last Update Date | 06/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7806250 | (05) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.