KEVIN K SONG (NPI# 1699880500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699880500 |
| Entity Type | Individual |
| Full Name | KEVIN K SONG |
| Credential | DMD |
| Practice Address |
595 Hancock St Quincy MA 02170-1911 |
| Practice Telephone | 6177690888 |
| Practice Fax Number | 6174799888 |
| Mailing Telephone | 6177690888 |
| Mailing Fax Number | 6174799888 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18858 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538341250 | Kevin Song | Dentist | 1031 108th Ave Se, Bellevue, WA 98004-6842 | 2007-12-04 |
| 1841645835 | Kevin Song | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2016-04-27 |
| Street Address |
595 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02170-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952595027 | Kevin K Song, Dmd,pc | Dentist | 595 Hancock St, Quincy, MA 02170-1911 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123545 | Jennyfer Destin | Social Worker | 859 Willard Street, Quincy, MA 02170 | 2017-06-07 |
| 1154634848 | Christopher Le | Pharmacist | 343 Newport Ave, Quincy, MA 02170 | 2010-07-22 |
| 1528084902 | Patrick J. Dumont | Acupuncturist | 605 Hancock Street, Quincy, MA 02170 | 2006-07-15 |
| 1831640408 | Atlas Pharmahealth, Inc. | Pharmacy | 343 Newport Ave, Quincy, MA 02170 | 2016-10-19 |
| 1578813143 | Medi-son Solutions, LLC | Pharmacy | 343 Newport Ave, Quincy, MA 02170 | 2012-09-11 |
| 1194021790 | Scott J Rosner | Chiropractor | 605 Hancock Street, Quincy, MA 02170 | 2011-01-31 |
| 1902039357 | Wendy B Knight | Social Worker | 23 E Elm Ave, Quincy, MA 02170 | 2009-09-02 |
| 1689856882 | Loretta Delp | Developmental Therapist | 59 Farrington St, Quincy, MA 02170-1001 | 2007-11-29 |
| 1699280651 | Cindy Chen | Behavior Technician | 108 Farrington St, Quincy, MA 02170-1002 | 2017-12-12 |
| 1346782810 | Beverly L Moore | Health Educator | 157 Wilson Ave, Quincy, MA 02170-1037 | 2016-11-15 |
| Find all providers in zip 02170 | ||||
| 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 |
|---|---|---|---|---|
| 1386201226 | Buffalo Prairie Dental Surgery and Sedation Center Pllc | Dentist | 126 N 30th St Ste 102, Quincy, IL 62301-3719 | 2019-05-28 |
| 1972091338 | Sunny Gaudet | Dentist | 130 Parkingway, Quincy, MA 02169-5058 | 2018-05-01 |
| 1891224465 | Xiuping Wang | Dentist | 332 Victory Rd Ste 3a, Quincy, MA 02171-3120 | 2017-06-07 |
| 1386045557 | Sobia Roohi | Dentist | 1071 Southern Artery, Apt 708, Quincy, MA 02169 | 2014-09-08 |
| 1801208681 | Susan Ma | Dentist | 500 Congress St Ste 3e, Quincy, MA 02169-0960 | 2014-05-28 |
| 1083054001 | Rohan Shantanu Kirtane | Dentist | 45 Newport Avenue, Aspendental, Quincy, MA 02169 | 2013-07-05 |
| 1629346499 | Lumiere Dental Spa, LLC | Dentist | 495 Sea St, Quincy, MA 02169-2742 | 2011-12-08 |
| 1821365784 | Dr Dental of Quincy PC | Dentist | 101 Falls Blvd, Quincy, MA 02169-8126 | 2011-11-21 |
| 1417238700 | Lora L Nation | Dentist | 331 S 36th St, Suite 1, Quincy, IL 62301-5840 | 2011-08-31 |
| 1295024073 | Ivana Adamov Dds, PC | Dentist | 111 Willard St, Suite 1b, Quincy, MA 02169 | 2011-04-01 |
| Find all providers in QUINCY | ||||
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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.