NPI: 1497210546
Provider Name: SPRINGFIELD PEDIATRIC DENTISTRY
Other Name: SIRISHA GOVINDAIAH DDS, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
1224 CENTRE WEST DR
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 666-0098
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SPRINGFIELD PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Springfield, IL. The provider is 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. SPRINGFIELD PEDIATRIC DENTISTRY NPI is 1497210546. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Sirisha Govindaiah Dds, Pllc.
The provider's business location address is:
1224 CENTRE WEST DR
SPRINGFIELD, IL
ZIP 62704-184
Phone: (217) 666-0098
The provider's authorized official is Sirisha Govindaiah .
The authorized official title is Dentist/president and has the following contact phone number (217) 666-0098.
The enumeration date for this NPI number is 2/4/2019 and was last updated on 2/4/2019.