Springfield Dental Partners LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SPRINGFIELD DENTAL PARTNERS LLC

Doing business as

Mountain Stream Dental

Practice address

498 Harlow Rd Ste 2
Springfield, OR 97477-1339

Phone

(541) 345-5363

NPI assigned

Sep 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan Welch, DMD

Title

Member

Phone

(702) 371-0221

Specialties & licenses 1

Addresses

Other names 1

• Mountain Stream Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Leland Torgeson, D.D.S.

  • General Practice Dentistry
  • Springfield, OR
  • NPI 1710986476
  NPD
• Linda Crist Bullock, D.M.D.

  • General Practice Dentistry
  • Springfield, OR
  • NPI 1629061692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1336754456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10663 BONCHESTER HILL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413899",
            "telephone_number": "702-371-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 HARLOW RD STE 2",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771339",
            "telephone_number": "541-345-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-371-0221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Stream Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Spicer, LPN
• Matthew Spilde
• Spine Center of Eugene, Inc
• Kellie Marissa Sprangel, MD
• Spring Valley Limited Partnership
• Springfield Holistic Health Center, LLC
• Springfield Kids Dentist LLC
• Springfield of Olympus, LLC
• Springfield Or Anesthesia Associates LLC
• Springfield Treatment Center

• Dentist in Springfield, OR
• Providers in Springfield, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.