Organization Active NPI

Seung Yong Song DDS PLLC

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1043139827
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEUNG YONG SONG DDS PLLC
Practice address
2815 2ND Ave Ste 101
Seattle, WA 98121-1262
Phone
(206) 225-2882
NPI assigned
Jul 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Seung Song, DDS
Title
Owner
Phone
(951) 750-2810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2815 2ND Ave Ste 101
Seattle, WA 98121-1262

Mailing address

2815 2ND Ave Ste 101
Seattle, WA 98121-1262
Phone (206) 225-2882

National Provider Directory

National Provider Directory
Tax ID family
Seung Yong Song DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2815 2nd Ave
Ste 101
Seattle, WA 98121
Phone (206) 225-2882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1043139827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 2ND AVE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211262",
            "telephone_number": "206-225-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 2ND AVE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211262",
            "telephone_number": "206-225-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEUNG YONG SONG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-750-2810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.