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CENTENNIAL FAMILY DENTAL PC
NPI 1124858477
Dentist - General Practice in Springfield, OR

Active since August 02, 2024
1290 W CENTENNIAL BLVD, SPRINGFIELD, OR 97477(541) 741-0602(541) 741-0615 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Centennial Family Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL FAMILY DENTAL PC (NPI 1124858477) is a healthcare organization registered as a general practice in Springfield, Oregon and active in the NPI registry since August 2024. The organization lists Jody Lynn Gregersen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124858477
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCENTENNIAL FAMILY DENTAL PC
Location Address1290 W CENTENNIAL BLVDSpringfield, OR 97477-3566
Mailing Address1290 W Centennial BlvdSpringfield, OR 97477-3566 · (541) 741-0602 · Fax (541) 741-0615
Phone(541) 741-0602
Fax(541) 741-0615
Organization SubpartNo
Authorized OfficialJody Lynn GregersenOffice Manager · (541) 741-0602
Enumeration DateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1124858477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
1290 W CENTENNIAL BLVD, Springfield, OR 97477
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN W LARSON DMD
Dentist (General Practice)
1290 W CENTENNIAL BLVD, SUITE 1
SPRINGFIELD, OR 97477
Lane County (541) 741-0602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Family Dental PC's NPI number?

The NPI number for Centennial Family Dental PC is 1124858477. It was assigned to this organization in the NPPES registry on August 2, 2024.

Where is Centennial Family Dental PC located?

Centennial Family Dental PC is located at 1290 W Centennial Blvd, Springfield, OR 97477. The listed phone number is (541) 741-0602.

What is Centennial Family Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Centennial Family Dental PC was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.