| Dr Poongkodi Kannan, BDS, DDS | |
|
25647 Redwood Hwy, Cave Junction, OR 97523-9332 | |
| (541) 592-4111 | |
| Not Available |
| Full Name | Dr Poongkodi Kannan |
|---|---|
| Gender | Female |
| Speciality | Dentist - Dental Public Health |
| Location | 25647 Redwood Hwy, Cave Junction, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528164563 | NPI | - | NPPES |
| 7806250 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9043 (Oregon) | Secondary |
| 1223D0001X | Dentist - Dental Public Health | D9043 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Poongkodi Kannan, BDS, DDS 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 Ph: (541) 479-6393 | Dr Poongkodi Kannan, BDS, DDS 25647 Redwood Hwy, Cave Junction, OR 97523-9332 Ph: (541) 592-4111 |
Dr. Sneha Innes, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-471-4111 Fax: 541-592-3916 | |
Dr. Peter Steven Tommerup, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-592-3916 | |
Samantha Gaffney, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 | |
Steve Mock, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 315 - B Caves Highway, Cave Junction, OR 97523 Phone: 541-592-4159 Fax: 541-592-2313 | |
Dr. John Larry Patton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 Caves Hwy, Cave Junction, OR 97523 Phone: 541-592-3356 Fax: 541-592-4466 |