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SPRINGFIELD KIDS DENTIST LLC
NPI 1831603018
Dentist - Pediatric Dentistry in Springfield, OR

Active since November 26, 2017
5895 MAIN ST, SPRINGFIELD, OR 97478(541) 654-4996(541) 505-8463 Get Directions Write a Review

NPPES record last updated: November 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Springfield Kids Dentist Llc NPPES

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

SPRINGFIELD KIDS DENTIST LLC (NPI 1831603018) is a healthcare organization registered as a pediatric dentistry in Springfield, Oregon and active in the NPI registry since November 2017. The organization lists Femina Jane Bedolla, Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1831603018
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPRINGFIELD KIDS DENTIST LLC
Location Address5895 MAIN STSpringfield, OR 97478-6961
Mailing Address5895 Main StSpringfield, OR 97478-6961 · (541) 654-4996 · Fax (541) 505-8463
Phone(541) 654-4996
Fax(541) 505-8463
Organization SubpartNo
Authorized OfficialFemina Jane BedollaOperations Officer · (541) 844-3113
Enumeration DateNovember 26, 2017
✔ NPI 1831603018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OR · D8929
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.
5895 MAIN ST, Springfield, OR 97478
Open in Google Maps ↗

Other Identifiers 2

Other1528268281Private Insurance
Medicaid279295OR

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 UnitedHealthcare.Insurance ›

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. BENITA PEI-LIN WONG DDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
5895 MAIN ST
SPRINGFIELD, OR 97478
Lane County (541) 359-3261

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 Springfield Kids Dentist LLC's NPI number?

The NPI number for Springfield Kids Dentist LLC is 1831603018. It was assigned to this organization in the NPPES registry on November 26, 2017.

Where is Springfield Kids Dentist LLC located?

Springfield Kids Dentist LLC is located at 5895 Main St, Springfield, OR 97478. The listed phone number is (541) 654-4996.

What is Springfield Kids Dentist LLC's specialty?

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

What insurance does Springfield Kids Dentist LLC accept?

Health plans from UnitedHealthcare list Springfield Kids Dentist LLC 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 Springfield Kids Dentist LLC was last updated on November 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.