DR. CHANGEUN SONG (NPI# 1215183371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215183371 |
| Entity Type | Individual |
| Full Name | DR. CHANGEUN SONG |
| Credential | DDS |
| Practice Address |
51st Dental Squadron Unit 2060 Apo AP 96278-2060 |
| Mailing Address |
Psc 3 Box 6433 Apo AP 96266-0065 |
| Practice Telephone | 3157842108 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 24262 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24262 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1007 W Mitchell St Ste 201, Arlington, TX 760132504 | 8173308090 | 8173308090 |
| Street Address |
51ST DENTAL SQUADRON UNIT 2060 |
| City | APO |
| State | AP |
| Zip Code | 96278-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316310832 | Elissa Nicole Beebe | Physician Assistant | Paf 51 Medical Operations Sq Ffm 130, Osan Ab, KOREA 96278 | 2015-11-05 |
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1497012488 | Kevin M Phelan | Surgery | 51 Mdg, Unit 2060, Apo, AP 96278 | 2012-04-16 |
| 1922214782 | 121st Csh/baach | Clinic/Center | Unit 15494, Apo, AP 96278 | 2007-05-15 |
| 1548475619 | 121st Csh/baach | Clinic/Center | Unit 2097, Camp Walker, Apo, AP 96278 | 2007-05-11 |
| 1912028424 | Danny Eric Ervin | Social Worker | 51 Mdg Mdos, Unit 2060, Apo, AP 96278 | 2007-04-02 |
| 1477608321 | Carl Neighbors | Counselor | 51 Mdg Sgohf, Unit 2060, Apo, AP 96278 | 2007-01-23 |
| 1619043775 | Wonil William Chong | Dentist | 51st Medical Group/sghq, Unit 2060, Apo, AP 96278 | 2006-11-28 |
| 1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
| 1053390187 | Robert Lee Chaplin Jr. | Nurse Anesthetist, Certified Registered | 51 Mdos/sgosa, Bldg 777 Unit #2060, Apo, AP 96278 | 2006-01-17 |
| Find all providers in zip 96278 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| 1669088852 | Matthew Dejong | Dentist | Kleber Dental Clinic, Bldg 3287, Apo, AE 09227 | 2020-09-22 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1659927937 | Benjamin Kyunghan Yoon | Dentist | 618th Dental Company, Carius Dental Clinic Unit #15652, Attn: Credentails Coordinator, Apo, AP 96271-5245 | 2019-08-13 |
| 1477108967 | Shane Clay Hoffner | Dentist | 618th Dental Co, Carius Dental Clinic Bldg# P3020, Attn: Credentials Office, Apo, AP 96271-5245 | 2019-08-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1437712130 | Andrea Rose Deese | Dentist | Raf Lakenheath 48 Mdg / Sghc, Unit 5115, Apo, AE 09461-5115 | 2019-04-17 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.