Koti, Susmitha Rao

Koti, Susmitha Rao is an individual health care provider with primary practice located at 1740 W 17Th Ave , Eugene OR 97402-3619. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Koti, Susmitha Rao can be contacted via phone (458) 210-3543.

Contact Information

Primary practice address
1740 W 17Th Ave Eugene OR 97402-3619
Phone: (458) 210-3543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 27635 Texas
Dental Providers / General Practice 1223G0001X DN014164 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X D11308 Oregon

Profile Details

NPI number 1578878435
LBN Legal business name Koti, Susmitha Rao
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2010
Last updated Aug 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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