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SONG DENTAL GROUP INC. NPI 1649599267


NPI Information

NPI: 1649599267
Provider Name: SONG DENTAL GROUP, INC.

Doing Business As: SONG ORAL SURGERY

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 05D2262620

Address:
3109 GEARY BLVD
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 668-8600
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SONG DENTAL GROUP, INC. is an oral and maxillofacial surgery clinic center in San Francisco, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SONG DENTAL GROUP, INC. NPI is 1649599267. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Song Oral Surgery.

The provider's business location address is:

3109 GEARY BLVD
SAN FRANCISCO, CA
ZIP 94118-316
Phone: (415) 668-8600
Fax: (415) 668-8601

The provider's authorized official is Dennis Song .
The authorized official title is President and has the following contact phone number (415) 668-8600.

The CLIA number assigned to this NPI record is 05D2262620 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2010 and was last updated on 9/22/2017.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
2204E00000XOral & Maxillofacial SurgeryNo
3261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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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