Search › Oregon › 1223P0221X

Shi Guang Song, DMD

NPI 1528740149 · on the registry since 2023 · sole proprietor

Practice

Address
1731 Nw Kings Blvd
Corvallis, OR 97330
Phone
(541) 705-2470
Organisation at this address
Franklin A Rosumny Dmd Pc
Acorn Dentistry For Kids - Corvallis, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon