IndividualActive
Prashant Charugundla, DDS
NPI 1700317401 · Oral & Maxillofacial Surgery (D.M.D.) · Portland, OR
Provider details
- NPI number
- 1700317401
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D11891 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3332 N Lombard St Ste C
Portland, OR 97217-1258
Phone: (503) 548-2006
Fax: (503) 548-2012
Approximate (ZIP-level) locationGet directions
Mailing address
3332 N Lombard St Ste C
Portland, OR 97217-1258
Additional practice locations (3)
- 5880 Ne Cornell RdHillsboro, OR 97124-9075Phone: (503) 420-3997Fax: (866) 268-9618
- 301 Riverview Ave Ste 3Norfolk, VA 23510-1065Phone: (757) 668-7713Fax: (757) 668-7711
- 2021 Concert Dr Fl 3Virginia Beach, VA 23456-8082Phone: (757) 668-7713Fax: (757) 668-7711
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.