Springfield Pediatric Dentistry

Pediatric Dentistry · Springfield, IL

Organization Active NPI

NPI number 1497210546

Practice location

1224 Centre West Dr
Springfield, IL 62704-2184
Phone
(217) 666-0098

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NPI record

NPI
1497210546
Entity type
Organization (Type 2)
Enumeration date
February 4, 2019
Last updated
February 4, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X — —

Mailing address

10900 Fox CRST
San Antonio, TX 78233-7249
Phone
(217) 666-0098

Authorized official

Name
Dr. Sirisha Govindaiah, BDS, MPH, DDS
Title
Dentist/President
Phone
(217) 666-0098

Other names

  • Sirisha Govindaiah DDS, PLLC

About Springfield Pediatric Dentistry

Springfield Pediatric Dentistry is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1224 Centre West Dr, Springfield, IL 62704-2184. The NPI number 1497210546 was assigned on February 4, 2019 and the record was last updated on February 4, 2019.

The authorized official for this organization is Dr. Sirisha Govindaiah, BDS, MPH, DDS, Dentist/President.

Frequently asked questions

What is the NPI number of Springfield Pediatric Dentistry?

The NPI number is 1497210546.

What is the phone number of Springfield Pediatric Dentistry?

The phone number listed for the practice location is (217) 666-0098.

Where is Springfield Pediatric Dentistry located?

1224 Centre West Dr, Springfield, IL 62704-2184.

What is the taxonomy code for Springfield Pediatric Dentistry?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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