Shi Guang Song is a Corvallis, Oregon based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Shi Guang Song is
012248 for Pediatric Dentistry in Oregon. Her current practice location is
1731 Nw Kings Blvd, Corvallis. Patients can reach her at
541-705-2470.
Shi Guang Song provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Shi Guang Song speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Shi Guang Song |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1731 Nw Kings Blvd, Corvallis,
Oregon, 97330 |
| Phone: | 541-705-2470 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1528740149 |
| NPI Enumeration Date: | 03 Aug, 2023 |
| NPI Last Update On: | 10 Nov, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shi Guang Song are as mentioned below.
| License Number | Specialization | State | Status | |
| 012248 | Pediatric Dentistry | Oregon | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 777 Commercial St Se #510,
Salem, Oregon |
| Zip: | 97301 |
| Phone Number: | 267-815-3792 |
Patients can reach Shi Guang Song at
1731 Nw Kings Blvd, Corvallis, Oregon or can
call to book an appointment on 541-705-2470.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.