DR. SOO KYUNG SONG DDS MS NPI 1750740072

NPI Information

  • NPI: 1750740072
  • Provider Name: DR. SOO KYUNG SONG, DDS, MS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 686 E UNION STREET
    SUITE 150
    PASADENA, CA
    ZIP 91101
  • Phone: (626) 460-1002

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NPI Details

DR. Soo Kyung Song, DDS, MS is a pediatric dentistry dentist in Pasadena, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Soo Kyung Song, DDS, MS NPI is 1750740072. 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:

686 E UNION STREET
SUITE 150
PASADENA, CA
ZIP 91101-828
Phone: (626) 460-1002
Fax: (626) 460-0406

The enumeration date for this NPI number is 2/15/2016 and was last updated on 10/8/2025.

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
11223P0221XDentistPediatric Dentistry101142CALIFORNIAYes

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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