In Hee Song DMD, MD, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

IN HEE SONG DMD, MD, INC

Practice address

1004 Fowler Way Ste 9
Placerville, CA 95667-5746

Phone

(530) 328-0360

Fax

(530) 328-0365

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. In Hee SongNPI 1447523667

Title

Ceo

Phone

(530) 328-0360

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• In Hee Song, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Placerville, CA
  • NPI 1447523667
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1144092479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 FOWLER WAY STE 9",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675746",
            "telephone_number": "530-328-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 FOWLER WAY STE 9",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675746",
            "telephone_number": "530-328-0360",
            "fax_number": "530-328-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HEE SONG DMD, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "IN HEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-328-0360",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Corinne Hunt
• Darren Husted
• Sarah Husted, FNP
• Cheri Layne Ibes, OT
• Maria Carolina Ildebrando Monte
• Nicklaus Ingman, PT, DPT
• Injoo Han,D.D.S.,Inc.
• Institute of Family Counseling
• Melissa Izzi, OTR
• Kelley J Jackson, WHNP

• Oral and Maxillofacial Surgery (Dentist) in Placerville, CA
• Providers in Placerville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.