Shi Guang Song, DMD

NPI #1528740149 in Corvallis, Oregon

Provider Information

NPI Number: 1528740149
Entity Type: Individual
Name: Shi Guang Song, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Pediatric Dentistry
Credential: DMD
Enumeration Date: Aug 3, 2023
Last Updated: Nov 10, 2025

Practice Location

Address: 1731 NW KINGS BLVD
City: Corvallis
State: Oregon
ZIP Code: 97330
Phone: (541) 705-2470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Steven Christensen, D.M.D.	Dentist - Pediatric Dentistry	Bend	AI Deep Dive
DR. Noel Vee Larsen, D.M.D.	Dentist - Pediatric Dentistry	Portland	AI Deep Dive
DR. Richard I. Park, DMD	Dentist - Pediatric Dentistry	Portland	AI Deep Dive
DR. Jacqueline Bourdette, D.M.D.	Dentist - Pediatric Dentistry	Portland	AI Deep Dive

Organizations

Provider Name	Specialty	City
Corvallis Children's Dentistry PC	Dentist - Pediatric Dentistry	Corvallis	AI Deep Dive

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