Seunghan Derek Song, DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SEUNGHAN DEREK SONG, DMD, PC

Practice address

281 Cambridge St
Burlington, MA 01803-2543

Phone

(781) 272-5890

Fax

(781) 272-6552

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Seunghan Song, DMD

Title

Dentist/Owner

Phone

(781) 272-5890

Specialties & licenses 1

Addresses

Other names 1

• Derek Song, DMD Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1104481761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 CAMBRIDGE ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032543",
            "telephone_number": "781-272-5890",
            "fax_number": "781-272-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 CAMBRIDGE ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032543",
            "telephone_number": "781-272-5890",
            "fax_number": "781-272-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEUNGHAN DEREK SONG, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SEUNGHAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-272-5890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dereksongdmd.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "281 Cambridge St",
            "city": "Burlington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018032543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Derek Song, DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Sekurski, MS, RD, LDN
• Lisa G Serra, MD
• Cynthia Llerena Sershen, F.N.P.
• Elliot Louis Servais, M.D.
• Arevig Myrenie Setian, RN
• Victoria Jane Seward, M.D.
• Akram Shaar, M.D.
• Ali Shaat
• Sara Shadchehr, D.O.
• Leslie Paulette Shaff, MD

• Dentist in Burlington, MA
• Providers in Burlington, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.