Michael Soo-Hyung Song in Fairfax - Dentist
Michael Soo-Hyung Song - NPI 1235318569
Michael Soo-Hyung Song is a Dentist in Fairfax, Virginia. Michael Soo-Hyung Song practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Soo-Hyung Song is 1235318569. The last update date is 2007-11-02.
Michael Soo-Hyung Song's current location address is 3975 Fair Ridge Dr, Fairfax, Virginia. You can contact this provider via phone number 7033855455. The mailing address for Michael Soo-Hyung Song is 3975 Fair Ridge Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Soo-Hyung Song |
|---|---|
| Address | 3975 Fair Ridge Dr, Fairfax, Virginia |
| Phone Number | 7033855455 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1235318569 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 3975 Fair Ridge Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220332911 |
| Phone Number | 7033855455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8219 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Michael Soo-Hyung Song by the Centers for Medicare & Medicaid Services?
The Michael Soo-Hyung Song has been issued the NPI (National Provider Identifier) 1235318569 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Soo-Hyung Song is located?
The Michael Soo-Hyung Song is situated at the following address: 3975 Fair Ridge Dr, Fairfax, VA, 220332911.
What is Michael Soo-Hyung Song's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Soo-Hyung Song is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235318569 to Michael Soo-Hyung Song?
The Centers for Medicare & Medicaid Services originally issued the 1235318569 to Michael Soo-Hyung Song on 2007-11-02.
As of what date were the details pertaining to Michael Soo-Hyung Song last refreshed?
The information related to the Michael Soo-Hyung Song, including its address, specialty, and other relevant details, was last updated on 2007-11-02.