Active NPIIndividual provider

Yunbo Song, DMD

Dentist in Manville, New Jersey

NPI Number1154759165
Practice location
255 North Main Street, Manville, NJ 08835
Fax
—
Last updated
January 10, 2022

Yunbo Song is a Dentist based in Manville, NJ. Yunbo Song practices in Manville, NJ and has the professional credentials of DMD. The NPI Number for Yunbo Song is 1154759165 and holds a License No. 059093 (NY). The current practice location address for Yunbo Song is 255 North Main Street, Manville, NJ 08835 and can be reached out via phone at 908-526-2224.

Provider Profile Details

NPI Number
1154759165
Provider Name
Yunbo Song
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
255 North Main Street, Manville, NJ 08835
Phone Number
908-526-2224
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2013
Last Update Date
January 10, 2022
Certification Date
January 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 North Main Street
Manville, NJ 08835
Zip
08835
Phone Number
908-526-2224
Manville, NJ 08835Get directions →

Provider Business Mailing Address Details

Address
255 North Main Street
Manville, NJ 08835
City
Manville
State
NJ
Zip
08835
Phone Number
908-526-2224

License Information

License Number (1)
059093
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02649700
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Yunbo Song, DMD?

The NPI number of Yunbo Song, DMD is 1154759165. It was assigned on October 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Yunbo Song, DMD?

Yunbo Song, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 059093.

Where does Yunbo Song, DMD practice?

The practice location is 255 North Main Street, Manville, NJ 08835. The office can be reached at 908-526-2224 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154759165 directly on the NPPES registry website.

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