DR. JIN WOOK SONG (NPI# 1558453431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558453431 |
| Entity Type | Individual |
| Full Name | DR. JIN WOOK SONG |
| Credential | D.D.S |
| Practice Address |
35761 Sayre Rd Carthage NY 13619-8522 |
| Mailing Address |
Po Box 716 Carthage NY 13619-0716 |
| Practice Telephone | 3154936003 |
| Practice Fax Number | 3154936828 |
| Mailing Telephone | 3154936003 |
| Mailing Fax Number | 3153763268 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 048707-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225589401 | Jin Oh Song | Acupuncturist | 373 N Western Ave Ste 11, Los Angeles, CA 90004-2616 | 2016-10-21 |
| 1275691842 | Jin Song | Dentist | 2529 Windward Way, Chula Vista, CA 91914-4526 | 2006-12-05 |
| 1497110225 | Jin Song | Pharmacist | 311 S Mountain Ave, Upland, CA 91786-7032 | 2015-12-21 |
| 1679903801 | Jin Song | Registered Nurse | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2013-11-25 |
| 1710266341 | Jin Wha Song | Pharmacist | 1 Baxter Pkwy, Deerfield, IL 60015-4625 | 2011-08-13 |
| 1720312531 | Jin Song | Internal Medicine | 540 Litchfield St, Torrington, CT 06790-6679 | 2009-09-25 |
| Street Address |
35761 SAYRE RD |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619-8522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861668790 | Terry B Henert | Dentist | 712 Wabash Ave, Carthage, IL 62321-1446 | 2008-04-30 |
| 1356557748 | Mary Rose Bratton | Dentist | 619 Main St N Ste A, Carthage, TN 37030-1259 | 2007-05-15 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1881759975 | William Harold Hammons | Dentist | 707 University Drive, Carthage, TX 75633-1339 | 2006-12-27 |
| 1346308343 | Tommy G. Jones, D.d.s., Pllc | Dentist | 107 N Van Buren St, Carthage, MS 39051-4160 | 2006-12-04 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1033121082 | Jesse Carl Grant | Dentist | 407 W Sabine, Carthage, TX 75633-2421 | 2006-08-11 |
| 1861474298 | Jemin Lee | Dentist | 33054 Route 26, Fondak Dental, Carthage, NY 13619 | 2005-11-21 |
| 1487635074 | Andrew Nguyen | Dentist | 33054 State Route 26, A Happy Smile Dental Office, PC, Carthage, NY 13619 | 2005-11-10 |
| Find all providers in CARTHAGE | ||||
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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.