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DR. ISSE SONG DENTAL OFFICE NPI 1659319655


NPI Information

NPI: 1659319655
Provider Name: DR. ISSE SONG DENTAL OFFICE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12554 S JOHN YOUNG PKWY
#104
ORLANDO, FL
ZIP 32837
Phone: (407) 888-1088
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DR. ISSE SONG DENTAL OFFICE is a general practice dentist in Orlando, FL. The provider is 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. DR. ISSE SONG DENTAL OFFICE NPI is 1659319655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12554 S JOHN YOUNG PKWY
#104
ORLANDO, FL
ZIP 32837-004
Phone: (407) 888-1088
Fax: (407) 888-1889

The provider's authorized official is Isse Song .
The authorized official title is D.m.d., Ph. D.,fagd/ Doctor and has the following contact phone number (407) 888-1088.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN11703FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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