Active NPIIndividual provider

Ji Young Song

Dentist, General Practice in Raynham, Massachusetts

NPI Number1669952651
Practice location
270 New State Hwy Ste 9A, Raynham, MA 02767-5459
Fax
—
Last updated
September 11, 2024

Ji Young Song is a Dentist, General Practice based in Raynham, MA. Ji Young Song practices in Raynham, MA. The NPI Number for Ji Young Song is 1669952651 and holds a License No. DN1858108 (MA). The current practice location address for Ji Young Song is 270 New State Hwy Ste 9A, Raynham, MA 02767-5459 and can be reached out via phone at 226-260-3587.

Provider Profile Details

NPI Number
1669952651
Provider Name
Ji Young Song
Provider Entity Type
Individual
Gender
Female
Address
270 New State Hwy Ste 9A, Raynham, MA 02767-5459
Phone Number
226-260-3587
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2018
Last Update Date
September 11, 2024
Certification Date
September 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
270 New State Hwy Ste 9A
Raynham, MA 02767-5459
Zip
02767-5459
Phone Number
226-260-3587
Raynham, MA 02767Get directions →

Provider Business Mailing Address Details

Address
350 N Clark St Fl 6
Chicago, IL 60654-4712
City
Chicago
State
IL
Zip
60654-4712

License Information

License Number (1)
DN1858108
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
dn1858201
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Ji Young Song?

The NPI number of Ji Young Song is 1669952651. It was assigned on August 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Ji Young Song?

Ji Young Song is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858108.

Where does Ji Young Song practice?

The practice location is 270 New State Hwy Ste 9A, Raynham, MA 02767-5459. The office can be reached at 226-260-3587 (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 1669952651 directly on the NPPES registry website.

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