OrganizationActive
Centennial Family Dental PC
NPI 1124858477 · General Practice Dentistry · Springfield, OR
Provider details
- NPI number
- 1124858477
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jody Gregersen, Office Manager(541) 741-0602
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1290 W Centennial Blvd
Springfield, OR 97477-3566
Phone: (541) 741-0602
Fax: (541) 741-0615
Street-level locationGet directions
Mailing address
1290 W Centennial Blvd
Springfield, OR 97477-3566
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.