HYUNNA SONG DMD, P.C. (NPI# 1740543230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740543230 |
| Entity Type | Organization |
| Organization Name | HYUNNA SONG DMD, P.C. |
| Practice Address |
566 Suffolk Ave Brentwood NY 11717-4210 |
| Mailing Address |
1 Alderwood Ln Syosset NY 11791-4711 |
| Practice Telephone | 6318132008 |
| Practice Fax Number | 6318132009 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | DR. HYUNNA SONG (ORTHODONTIST) |
| Authorized Official Telephone | 6318132008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
054879 | NY | Dental Providers |
| Street Address |
566 SUFFOLK AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982694865 | Manilal I Patel | Dentist | 566 Suffolk Ave, Brentwood, NY 11717-4210 | 2005-10-24 |
| 1083933113 | Hyunna Song | Dentist | 566 Suffolk Ave, Brentwood, NY 11717-4210 | 2010-05-28 |
| 1104077643 | Manjiri Pande | Dentist | 566 Suffolk Ave, Brentwood, NY 11717-4210 | 2008-10-02 |
| 1003098476 | Hanna Song | Dentist | 566 Suffolk Ave, Brentwood, NY 11717-4210 | 2007-11-28 |
| 1588845341 | Young Hoon Chung | Dentist | 566 Suffolk Ave, Suite 3, Brentwood, NY 11717-4210 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
| 1518408848 | Kristen Hann | Dentist | 100 Cortona Way Ste 250, Brentwood, CA 94513-7160 | 2017-03-20 |
| 1285070896 | Alexander Reinhard Philip Blaseio | Dentist | 317 Seven Springs Way Ste 103, Brentwood, TN 37027-4576 | 2013-05-22 |
| 1487965703 | Gerald James Jeffry | Dentist | 2201 Balfour Rd Ste A, Brentwood, CA 94513-4927 | 2010-07-01 |
| 1932430980 | Joel D. Cooper | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2010-01-14 |
| 1912955238 | Craig Michael Starling | Dentist | 1177 Old Hickory Blvd, Suite 201, Brentwood, TN 37027-4223 | 2006-05-05 |
| 1477160570 | Candid Tennessee, Pllc | Dentist | 205 Powell Pl, Brentwood, TN 37027-7522 | 2020-09-23 |
| 1548683311 | Lucas Orthodontics Brentwood, Pllc | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2014-01-29 |
| 1235427691 | Brentwood Dental Specialists | Dentist | 1642 Westgate Cir, Suite 100, Brentwood, TN 37027-8194 | 2011-07-19 |
| 1437444528 | Brandon Micah Foltz | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2011-06-16 |
| Find all providers in BRENTWOOD | ||||
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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.