Springfield Pediatric Dentistry
NPI #1497210546 in Springfield, Illinois
Provider Information
- NPI Number
- 1497210546
- Entity Type
- Organization
- Organization Name
- Springfield Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 4, 2019
- Last Updated
- Feb 4, 2019
Practice Location
- Address
- 1224 CENTRE WEST DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-2184
- Phone
- (217) 666-0098
Authorized Official
- Name
- DR. SIRISHA GOVINDAIAH, BDS, MPH, DDS
- Title
- DENTIST/PRESIDENT
- Phone
- (217) 666-0098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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