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Springfield Kids Dentist Llc
Pediatric Dentist in Springfield, Oregon
NPI 1831603018

Springfield Kids Dentist Llc is a Pediatric Dentist based in Springfield, OR and is specialized in Pediatric Dentistry. Springfield Kids Dentist Llc practices in Springfield, OR. The NPI Number for Springfield Kids Dentist Llc is 1831603018 and holds a License No. D8929 (Oregon).

The current practice location address for Springfield Kids Dentist Llc is 5895 Main St, Springfield, OR and can be reached out via phone at 541-654-4996 and via fax at 541-505-8463.

Location: 5895 Main St, Springfield, OR, 97478-6961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831603018
Provider Name
Springfield Kids Dentist Llc
Credential
Provider Entity Type
Organization
Address
5895 Main St, Springfield, OR, 97478-6961
Phone Number
541-654-4996
Fax Number
541-505-8463
Provider Enumeration Date
11/26/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
279295 05 OR
1528268281 01 PRIVATE INSURANCE
institution
Provider Business Practice Location Address Details
Address
5895 Main St
City
Springfield
State
Oregon
Zip
97478-6961
Phone Number
541-654-4996
Fax Number
541-505-8463
person
Provider Business Mailing Address Details
Address
5895 Main St
City
Springfield
State
Oregon
Zip
97478-6961
Phone Number
541-654-4996
Fax Number
541-505-8463
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D8929 (Oregon)
Definition
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.
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