1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Oral Maxillofacial Surgery
  6. NPI Profile

SUMMIT OREGON LLC
NPI 1205664844
Oral & Maxillofacial Surgery in Portland, OR

Active since July 24, 2024
3332 N LOMBARD ST STE C, PORTLAND, OR 97217(503) 548-2006(503) 548-2012 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 6, 2026, Jul 24, 2024 (2 updates tracked since 2024).

About Summit Oregon Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT OREGON LLC (NPI 1205664844), doing business as Summit Oral Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in Portland, Oregon and active in the NPI registry since July 2024. The organization lists Prashant Charugundla, Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1205664844
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSUMMIT OREGON LLC
Location Address3332 N LOMBARD ST STE CPortland, OR 97217-1258
Mailing Address3332 N Lombard St Ste CPortland, OR 97217-1258 · (503) 548-2006 · Fax (503) 548-2012
Phone(503) 548-2006
Fax(503) 548-2012
Organization SubpartNo
Authorized OfficialPrashant CharugundlaOral & Maxillofacial Surgeon · (503) 548-2006
Enumeration DateJuly 24, 2024
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1205664844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3332 N LOMBARD ST STE C, Portland, OR 97217
Open in Google Maps ↗

Other Names 1

Doing Business AsSummit Oral Surgery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRASHANT CHARUGUNDLA DDS
Oral & Maxillofacial Surgery
3332 N LOMBARD ST STE C
PORTLAND, OR 97217
Multnomah County (503) 548-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Oregon LLC's NPI number?

The NPI number for Summit Oregon LLC is 1205664844. It was assigned to this organization in the NPPES registry on July 24, 2024. The provider is doing business as Summit Oral Surgery.

Where is Summit Oregon LLC located?

Summit Oregon LLC is located at 3332 N Lombard St Ste C, Portland, OR 97217. The listed phone number is (503) 548-2006.

What is Summit Oregon LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Summit Oregon LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.