Immi Song in Albany - Orthodontics And Dentofacial Orthopedics
Immi Song - NPI 1467571554
Immi Song is a Orthodontics And Dentofacial Orthopedics in Albany, California. Immi Song practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Immi Song is 1467571554. The last update date is 2022-06-14.
Immi Song's current location address is 1301 Solano Ave Ste 101, Albany, California. You can contact this provider via phone number 5105282220 and fax number 5105282280. The mailing address for Immi Song is 1301 Solano Ave Ste 101, Albany, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Immi Song |
|---|---|
| Address | 1301 Solano Ave Ste 101, Albany, California |
| Phone Number | 5105282220 |
| Fax Number | 5105282280 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1467571554 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 1301 Solano Ave Ste 101 |
|---|---|
| City | Albany |
| State | California (CA) |
| Post Code | 947061825 |
| Phone Number | 5105282220 |
| Fax Number | 5105282280 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 40732 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Immi Song by the Centers for Medicare & Medicaid Services?
The Immi Song has been issued the NPI (National Provider Identifier) 1467571554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Immi Song?
The Immi Song is physically situated at 1301 Solano Ave Ste 101, in the city of Albany, state of CA, with the postal code 947061825.
What is Immi Song's area of expertise and its corresponding taxonomy classification?
The Immi Song's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1467571554 to Immi Song?
The Immi Song received its 1467571554 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date were the Immi Song's details last updated?
The information pertaining to the Immi Song, including its address, specialty, and other details, was most recently updated on 2022-06-14.