Phaneendra Kodali
- Full Name:
- Phaneendra Kumar Kodali
- Registration Number:
- 114958
- Current Status:
- Member
- Designated Electoral District:
- District 7
This member is currently entitled to practise.
Practice Information
Primary Practice
Bridge West Dental Office
- Sedation & Anesthesia Facility Permit:
- Yes
- CT Scanner Facility Permit:
- Yes
See Hide All Practice Locations
All Practice Locations
-
Bridge West Dental Office
- Sedation & Anesthesia Facility Permit:
- Yes
- CT Scanner Facility Permit:
- Yes
-
200 Highland Rd W #2 Kitchener, ON, CA N2M 3C2
- Sedation & Anesthesia Facility Permit:
- No
- CT Scanner Facility Permit:
- No
-
Brussels Dental Care
- Sedation & Anesthesia Facility Permit:
- No
- CT Scanner Facility Permit:
- No
-
Williamsburg Family Dentistry
- Sedation & Anesthesia Facility Permit:
- No
- CT Scanner Facility Permit:
- No
-
Westgate Dental Care
- Sedation & Anesthesia Facility Permit:
- No
- CT Scanner Facility Permit:
- No
-
Dentys Tooth Care Family Dentistry
- Sedation & Anesthesia Facility Permit:
- No
- CT Scanner Facility Permit:
- No
See Hide Professional Corporation Information
Professional Corporation Information
-
Phaneendra Kodali Dentistry Professional Corporation
373 Turnberry St
Brussels, ON, CA
N0G 1H0
Phone: 519-887-6426
- Certificate of Authorization Status:
- Current
- Certificate of Authorization Issuance:
- July 08, 2021
-
Kodali Dentistry Professional Corporation
Bridge West Dental Office, 373 Bridge St W #9B
Waterloo, ON, CA
N2K 3K3
Phone: 519-880-9480
- Certificate of Authorization Status:
- Current
- Certificate of Authorization Issuance:
- May 27, 2020
-
Dr. Kodali Dentistry Professional Corporation
2680 Lawrence Ave E#10
Toronto, ON, CA
M1P 4Y4
Phone:
- Certificate of Authorization Status:
- Current
- Certificate of Authorization Issuance:
- December 12, 2019
Academic Information
Dental Degree
- 2001
- Bangalore University, Government Dental College, India
This may not be a complete record of the member's academic information or continuing education.
Certificate(s) of Registration
Current Certificate(s) of Registration and Date(s) of Issuance
- General
Initial Date of Registration
Other License(s)
Current Dental License(s)
India
Sedation & Anesthesia Details
Sedation Administration Authorization
Parenteral Conscious Sedation - 1 Drug OptionAllowed to act as a visiting provider?
No
See All Associated Sedation & Anesthesia Facilities
-
- Address:
- 373 Bridge St W #9B Waterloo, ON, CA N2K 3K3
- Phone #:
- (519) 880-9480
- Permit Status:
- Current
- Permit Type:
- Type A
- Facility Modality:
- Deep Sedation - General Anesthesia
Dental CT Scanner Authorizations
CT Authorization:
Dentoalveolar CT Scans
See All Associated CT Facilities
-
- Address:
- 373 Bridge St W #9B Waterloo N2K 3K3
- Phone #:
- (519) 880-9480
- Permit Status:
- Current
- Permit Type: