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SPINNAKER PEDIATRIC DENTISTRY PC
NPI 1629343967
Dentist - Pediatric Dentistry in Salem, OR

Active since March 20, 2012
1105 12TH ST SE, SALEM, OR 97302(503) 363-5865(503) 363-8510 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spinnaker Pediatric Dentistry Pc NPPES

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

SPINNAKER PEDIATRIC DENTISTRY PC (NPI 1629343967) is a healthcare organization registered as a pediatric dentistry in Salem, Oregon and active in the NPI registry since March 2012. The organization lists Sean A Cooper, President, as its authorized official.

NPPES Registry Identity

NPI1629343967
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPINNAKER PEDIATRIC DENTISTRY PC
Location Address1105 12TH ST SESalem, OR 97302-2810
Mailing Address1105 12th St SeSalem, OR 97302-2810 · (503) 363-5865 · Fax (503) 363-8510
Phone(503) 363-5865
Fax(503) 363-8510
Organization SubpartNo
Authorized OfficialSean A CooperPresident · (503) 363-5865
Enumeration DateMarch 20, 2012
✔ NPI 1629343967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1105 12TH ST SE, Salem, OR 97302
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. KRISTA ALLEN RICHEY D.D.S., M.S.
Dentist (Pediatric Dentistry)
1105 12TH ST SE
SALEM, OR 97302
Marion County (503) 363-5865
DR. SEAN A COOPER DDS
Dentist (Pediatric Dentistry)
1105 12TH ST SE
SALEM, OR 97302
Marion County (503) 363-5865
AMANDA ELSPETH DAY
Dentist (Pediatric Dentistry)
1105 12TH ST SE
SALEM, OR 97302
Marion County (503) 363-5865

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 Spinnaker Pediatric Dentistry PC's NPI number?

The NPI number for Spinnaker Pediatric Dentistry PC is 1629343967. It was assigned to this organization in the NPPES registry on March 20, 2012.

Where is Spinnaker Pediatric Dentistry PC located?

Spinnaker Pediatric Dentistry PC is located at 1105 12th St SE, Salem, OR 97302. The listed phone number is (503) 363-5865.

What is Spinnaker Pediatric Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Spinnaker Pediatric Dentistry PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Spinnaker Pediatric Dentistry PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spinnaker Pediatric Dentistry PC was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.