DR. SOOJUNG SONG DMD NPI 1033255955

NPI Information

  • NPI: 1033255955
  • Provider Name: DR. SOOJUNG SONG, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3 OCEANSIDE WAY
    REDWOOD CITY, CA
    ZIP 94065
  • Phone: (617) 281-5742

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NPI Details

DR. Soojung Song, DMD is a general practice dentist in Redwood City, CA. 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. Soojung Song, DMD NPI is 1033255955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 OCEANSIDE WAY
REDWOOD CITY, CA
ZIP 94065-290
Phone: (617) 281-5742

The enumeration date for this NPI number is 1/29/2007 and was last updated on 3/2/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist21420MASSACHUSETTSNo
21223G0001XDentistGeneral Practice60061CALIFORNIAYes

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: 11/21/2025

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