Tae G Song DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

28295 Issued in TX

Legal business name

TAE G SONG DDS PC

Doing business as

Happy Teeth Dental Centers of Mesquite

Practice address

507 N Galloway Ave
Mesquite, TX 75149-3405

Phone

(972) 329-7000

Fax

(972) 329-7005

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Tae G Song, DDSNPI 1346591906

Title

President

Phone

(972) 329-7000

Specialties & licenses 1

Addresses

Other names 1

• Happy Teeth Dental Centers of Mesquite Doing business as

Locations

Practitioners 1

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

• Tae Gon Song, DDS

  • General Practice Dentistry
  • Mesquite, TX
  • NPI 1346591906
  NPD (past) Authorized official

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1215334420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493405",
            "telephone_number": "972-329-7000",
            "fax_number": "972-329-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493405",
            "telephone_number": "972-329-7000",
            "fax_number": "972-329-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE G SONG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-329-7000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Teeth Dental Centers of Mesquite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tye Sutherland
• Suzan Park, OD PLLC (Mesquite Eye Associates)
• Suzanne Appolito DDS PA (Dentistry For Children)
• T.E.a.M., Inc
• Afshan Tabassum, MD
• Farook W Taha
• Joseph Babafemi Taiwo, M.D.
• Marion Talam
• Tam Capital Ventures (First Rate Infusion and Wellness)
• Cary T Tanamachi, MD

• Dentist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.