Song Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SONG DENTAL PLLC

Doing business as

Carrollton Late-Night Dental Emergency

Practice address

1628 W Hebron Pkwy Ste 108
Carrollton, TX 75010-6311

Phone

(202) 445-8050

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Insoo Song, DDSNPI 1821583113

Title

Owner

Phone

(202) 445-8050

Specialties & licenses 1

Addresses

Other names 1

• Carrollton Late-Night Dental Emergency Doing business as

Practitioners 1

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

• Insoo Song, DDS

  • Dentist
  • Carrollton, TX
  • NPI 1821583113

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1144937913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W HEBRON PKWY STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106311",
            "telephone_number": "202-445-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W HEBRON PKWY STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106311",
            "telephone_number": "202-445-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "INSOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-445-8050",
        "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": [
        {
            "organization_name": "Carrollton Late-Night Dental Emergency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriella Carolina Solis, MS, RD, LD
• Ross William Solis, D.C.
• Alicia Solomon
• Hussein Somani, MD
• SE Jin Son, DPT
• Song Dermatology PLLC
• Alexander Song, PHARMD
• Edward Song, L.AC., PH.D.
• Insoo Song, DDS
• Mi Hye Song, MD

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.