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Centennial Family Dental PC

General Practice Dentistry in Springfield, OR · enumerated 2024 · authorized official Jody Gregersen, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124858477

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Registry record

Entity type Organization (Type 2)
Legal business name Centennial Family Dental PC
Practice address 1290 W Centennial Blvd, Springfield, OR, 97477
Phone (541) 741-0602
Fax (541) 741-0615
Enumeration date Aug 2, 2024
Last updated in NPPES Aug 2, 2024

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jody Gregersen
Title Office Manager
Phone (541) 741-0602

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Centennial Family Dental PC?
NPPES lists Jody Gregersen (Office Manager) as the authorized official for this organization.
What is the NPI number for Centennial Family Dental PC?
The NPI for Centennial Family Dental PC is 1124858477, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-02.