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Shi Guang Song, DMD
NPI 1528740149 · Pediatric Dentistry · Corvallis, OR
Shi Guang Song, DMD is a Pediatric Dentistry provider in Corvallis, OR (NPI 1528740149).
Provider details
- NPI number
- 1528740149
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 012248 (OR)
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
1731 Nw Kings Blvd
Corvallis, OR 97330
Phone: (541) 705-2470
Street-level locationGet directions
Mailing address
777 Commercial St Se #510
Salem, OR 97301
Registry dates
- Enumerated
- 2023-08-03
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is Shi Guang Song's NPI number?
- Shi Guang Song's National Provider Identifier (NPI) is 1528740149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shi Guang Song's specialty?
- Shi Guang Song is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Shi Guang Song located?
- Shi Guang Song's practice location on file with NPPES is 1731 Nw Kings Blvd, Corvallis, OR 97330.
- What is Shi Guang Song's phone number?
- The practice phone number listed in the NPPES registry for Shi Guang Song is (541) 705-2470.
- Is Shi Guang Song's NPI active?
- Yes — Shi Guang Song's NPI (1528740149) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.