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Myoungsu Song
General Practice Dentistry in Champaign, Illinois
NPI 1154932218

Myoungsu Song is a General Practice Dentistry based in Schaumburg, IL and is specialized in General Practice. Myoungsu Song practices in Champaign, IL. The NPI Number for Myoungsu Song is 1154932218 and holds a License No. 019032794 (Illinois).

The current practice location address for Myoungsu Song is 819 Bloomington Rd, Champaign, IL and can be reached out via phone at 217-356-1558.

Location: 819 Bloomington Rd, Champaign, IL, 60173-4166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154932218
Provider Name
Myoungsu Song
Credential
Provider Entity Type
Individual
Gender
Male
Address
819 Bloomington Rd, Champaign, IL, 60173-4166
Phone Number
217-356-1558
Fax Number
Provider Enumeration Date
08/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
819 Bloomington Rd
City
Champaign
State
Illinois
Zip
61820-2101
Phone Number
217-356-1558
Fax Number
person
Provider Business Mailing Address Details
Address
819 Bloomington Rd
City
Champaign
State
Illinois
Zip
61820-2101
Phone Number
217-356-1558
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019032794 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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