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Justin Song, DMD
General Practice Dentistry in Woodstock, Illinois
NPI 1598496010

Justin Song is a General Practice Dentistry based in Crystal Lake, IL and is specialized in General Practice. Justin Song practices in Woodstock, IL and has the professional credentials of DMD. The NPI Number for Justin Song is 1598496010 and holds a License No. 019.033660 (Illinois).

The current practice location address for Justin Song is 11585 Us Rt 14, Woodstock, IL and can be reached out via phone at 815-269-4681.

Location: 11585 Us Rt 14, Woodstock, IL, 60014-8236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598496010
Provider Name
Justin Song
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
11585 Us Rt 14, Woodstock, IL, 60014-8236
Phone Number
815-269-4681
Fax Number
Provider Enumeration Date
06/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11585 Us Rt 14
City
Woodstock
State
Illinois
Zip
60098
Phone Number
815-269-4681
Fax Number
person
Provider Business Mailing Address Details
Address
11585 Us Rt 14
City
Woodstock
State
Illinois
Zip
60098
Phone Number
815-269-4681
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.033660 (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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