Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578878435 Individual Practitioner Female Practitioner

Dr. Susmitha Rao Koti , DDS

Dentist - Pediatric Dentistry • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Dr. Susmitha Rao Koti, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Eugene, OR. Practice services are available at 1740 W 17TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1740 W 17th Ave

Eugene, OR 974023619

Telephone 4582103543
Associated Practice Facility / Clinic
🏢 Hayden Family Dental Group Facility NPI 1427031350

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Eugene, OR (180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-27
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License OR D11308

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 27635

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License GA DN014164

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1194369801

Doctor of Dental Surgery

NPI 1649795063
Dr. Inderraj Dhillon , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1740594571

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 27, 2020

Registered at 1740 W 17TH AVE, EUGENE, OR 974023619 (Tel: 4582103543)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2020

Dentist (License #DN014164 in GA)

NPI Profile Active February 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2012

Registered at 2200 S W S YOUNG DR, KILLEEN, TX 765435318 (Tel: 2547810551)

📍
Updated Business Mailing Address February 28, 2012

Registered at 1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 300676405 (Tel: 6789045665)

👤
Provider Name / Credentials Updated February 28, 2012

Recorded as SUSMITHA RAO KOTI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Dentist (License #DN014164 in GA)

🟢
Initial NPI Registration & Enumeration August 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578878435
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2010
Last Update: August 27, 2020
Sole Proprietor: No

Mailing Address

1090 Northchase Pkwy Se, Suite 290

Marietta, GA 300676405

Phone: 6789045665

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.