DR. BENJAMIN W SONG (NPI# 1790067460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790067460 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN W SONG |
| Credential | DMD |
| Practice Address |
2053 Palm Vista Drive Apopka FL 32712 |
| Mailing Address |
2053 Palm Vista Dr Apopka FL 32712-2454 |
| Practice Telephone | 3862356683 |
| Mailing Telephone | 3862356683 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 21794 | FL | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710041447 | Benjamin Jinyoung Song | Counselor | 101 15th St, San Francisco, CA 94116 | 2006-12-20 |
| 1437244951 | Benjamin Song | Orthopaedic Surgery | 1133 S Crenshaw Blvd, Los Angeles, CA 90019 | 2006-10-03 |
| 1750362034 | Benjamin J Song | Allergy & Immunology | 2000 N Huron River Dr Ste 200, Ypsilanti, MI 48197 | 2005-11-14 |
| Street Address |
2053 PALM VISTA DRIVE |
| City | APOPKA |
| State | FL |
| Zip Code | 32712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1871158741 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1520 W. Orange Blossom Trail, Apopka, FL 32712 | 2019-05-07 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1497290811 | Yasmine Mollings | Behavior Technician | 1741 Parkglen Circle, Apopka, FL 32712 | 2016-12-20 |
| 1316391170 | Infinity Dental LLC | Dentist | 1450 N. Rock Springs Rd, Apopka, FL 32712 | 2016-04-19 |
| 1518368323 | Eleanor Mccall Hawthorne | Counselor | 1928 Bluff Oak St., Apopka, FL 32712 | 2014-09-11 |
| 1497092613 | Anayanzi Annette Simpson | Social Worker | 523 Wekiva Commons Circle #4, Apopka, FL 32712 | 2013-01-08 |
| 1275884553 | Marcia Annette Bryan | Nursing Home Administrator | 957 Rock Creek Street, Apopka, FL 32712 | 2012-09-26 |
| 1235367400 | Adventist Home Care Services | Home Health | 1109 Tall Pine Drive, Apopka, FL 32712 | 2009-06-26 |
| 1013169333 | Shannon Crim-mosey | Social Worker | 1117 Leyland Court, Apopka, FL 32712 | 2008-10-17 |
| Find all providers in zip 32712 | ||||
| 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 |
|---|---|---|---|---|
| 1750908505 | Thayssa Rodrigues | Dentist | 767 S Orange Blossom Trl, Apopka, FL 32703-3708 | 2020-06-28 |
| 1205027968 | Kenneth George Chen | Dentist | 225 Copper Oak Ct, Apopka, FL 32703-1316 | 2007-08-07 |
| 1538350756 | Debbie-ann Natalie Bailey | Dentist | 1140 Rock Springs Rd, Apopka, FL 32712-2312 | 2007-08-05 |
| 1669681227 | Riverwalk Family Dentistry | Dentist | 2199 E Semoran Blvd, Apopka, FL 32703-5712 | 2007-05-21 |
| 1376768408 | Victor V Gammichia Dds Pa | Dentist | 450 Errol Parkway, Apopka, FL 32712 | 2007-04-16 |
| 1487727772 | Cristene Maas | Dentist | 3030 E Semoran Blvd, Suite 200, Apopka, FL 32703-5952 | 2006-11-16 |
| 1144314279 | Linda Kulma Russow | Dentist | 2216 E Semoran Blvd, Apopka, FL 32703-5733 | 2006-10-03 |
| 1871685800 | Sushil Patel | Dentist | 1450 Rock Springs Rd, Apopka, FL 32712-2306 | 2006-09-28 |
| 1407863954 | Doyle Leonard Summerlin | Dentist | 1414 E Semoran Blvd, Apopka, FL 32703-5602 | 2006-08-01 |
| 1124045851 | Kirk Kenneth Cohil | Dentist | 2525 E Semoran Blvd, Apopka, FL 32703-5835 | 2006-07-17 |
| Find all providers in APOPKA | ||||
Please comment or provide details below to improve the information on DR. BENJAMIN W SONG.
| 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.