DR. POONGKODI KANNAN B.D.S., D.D.S.
NPI 1528164563
Dentist - Dental Public Health in Cave Junction, OR

Q: What is Poongkodi Kannan's NPI number?

The NPI number for Poongkodi Kannan is 1528164563. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Dr. Kodi Kannan B.D.S., D.D.S..

Q: What is Poongkodi Kannan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Q: When was this NPI record last updated?

The NPPES record for Poongkodi Kannan was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 16, 2006

25647 REDWOOD HWY, CAVE JUNCTION, OR 97523(541) 592-4111 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2021, Aug 29, 2019 (2 updates tracked since 2019).

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About Dr. Poongkodi Kannan B.d.s., D.d.s. NPPES

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

DR. POONGKODI KANNAN B.D.S., D.D.S. (NPI 1528164563) is an individual dental public health provider in Cave Junction, Oregon, licensed in Oregon (D9043) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1528164563

Entity TypeIndividualFemale

Primary Taxonomy1223D0001X

Provider Legal NameDR. POONGKODI KANNANCredential: B.D.S., D.D.S.

Location Address25647 REDWOOD HWYCave Junction, OR 97523-9332

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 479-6393 · Fax (541) 479-6489

Phone(541) 592-4111

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration

NPPES CertifiedOctober 6, 2021

✔ NPI 1528164563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in OR · D9043

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D9043 (OR)

25647 REDWOOD HWY, Cave Junction, OR 97523

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Other Names 1

Professional Name (2)Dr. Kodi Kannan B.d.s., D.d.s.

Other Identifiers 1

Medicaid7806250SD

Other Providers at the Same Location NPPES 19

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

DR. PETER STEVEN TOMMERUP D.D.S.

Dentist