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

373 Bridge St W #9B Waterloo, ON, CA N2K 3K3
Phone:
(519) 880-9480
Sedation & Anesthesia Facility Permit:
Yes
CT Scanner Facility Permit:
Yes
View Facility Permits
See Hide All Practice Locations

All Practice Locations

  • Bridge West Dental Office
    373 Bridge St W #9B Waterloo, ON, CA N2K 3K3
    Phone:
    (519) 880-9480
    Sedation & Anesthesia Facility Permit:
    Yes
    CT Scanner Facility Permit:
    Yes
    View Facility Permits
  • 200 Highland Rd W #2 Kitchener, ON, CA N2M 3C2
    Sedation & Anesthesia Facility Permit:
    No
    CT Scanner Facility Permit:
    No
  • Brussels Dental Care
    373 Turnberry St Box 280 Brussels, ON, CA N0G 1H0
    Phone:
    519-887-6426
    Sedation & Anesthesia Facility Permit:
    No
    CT Scanner Facility Permit:
    No
  • Williamsburg Family Dentistry
    325 Max Becker Dr #107A Kitchener, ON, CA N2E 4H5
    Phone:
    519-743-1740
    Sedation & Anesthesia Facility Permit:
    No
    CT Scanner Facility Permit:
    No
  • Westgate Dental Care
    130 Cedar St #35 The Westgate Centre Cambridge, ON, CA N1S 1W4
    Phone:
    (519) 623-2400
    Sedation & Anesthesia Facility Permit:
    No
    CT Scanner Facility Permit:
    No
  • Dentys Tooth Care Family Dentistry
    2680 Lawrence Ave E#10 Toronto, ON, CA M1P 4Y4
    Phone:
    647-341-9303
    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
    Shareholders
  • 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
    Shareholders
  • 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
    Shareholders

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 Option

Allowed 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
    View Facility Permits

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:
    View Facility Permits

This information was obtained from the register of the Royal College of Dental Surgeons of Ontario (www.rcdso.org)