Jun S Song in Bayside - Periodontics

Jun S Song - NPI 1538372073

Jun S Song is a Periodontics in Bayside, New York. Jun S Song practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jun S Song is 1538372073. The last update date is 2018-10-04.

Jun S Song's current location address is 46-01 Bell Blvd., Bayside, New York. You can contact this provider via phone number 7182812222 and fax number 7182812822. The mailing address for Jun S Song is 46-01 Bell Blvd., Bayside, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jun S Song
Address 46-01 Bell Blvd., Bayside, New York
Phone Number 7182812222
Fax Number 7182812822
Sole Proprietor N
Credentials DDS, MMSC

NPI Number Detail

NPI Number 1538372073
Provider Enumeration Date 2007-05-08
Last Updated Date 2018-10-04

Provider Mailing Address Detail

Address 46-01 Bell Blvd.
City Bayside
State New York (NY)
Post Code 11361
Phone Number 7182812222
Fax Number 7182812822

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 48211
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2455109 NY --

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FAQs about Jun S Song

What is the unique 10-digit identification code assigned to Jun S Song by the Centers for Medicare & Medicaid Services?

The Jun S Song has been issued the NPI (National Provider Identifier) 1538372073, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jun S Song's physical address?

The Jun S Song is physically located at 46-01 Bell Blvd., in the city of Bayside, NY, with the postal code 11361.

What is the area of specialization for Jun S Song, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jun S Song is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.

On what date did the Jun S Song receive the assignment of its 1538372073 from the Centers for Medicare & Medicaid Services?

The Jun S Song was issued its 1538372073 by the Centers for Medicare & Medicaid Services on 2007-05-08.

As of what date was the information pertaining to Jun S Song, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jun S Song, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-10-04.

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