Hyun Jung Song, DDS MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00009102 Issued in WA

Practice address

411 Strander Blvd Ste 302
Tukwila, WA 98188-2924

Phone

(206) 575-1086

Fax

(206) 575-0829

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hsong39514@direct.seattlechildrens.org
• Direct secure messaging: drsong@pnwperio.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Song Periodontics and Dental Implants PLLC

  dba Pacific Northwest Oral Medicine

  • Periodontics
  • Tukwila, WA
  • NPI 1386202539
  NPD Authorized official
• Song Periodontics and Implants

  dba Pacific northwest oral medicine

  • Oral Medicine Dentistry
  • Tukwila, WA
  • NPI 1437020591
  NPD Authorized official
• Rosario Palacios DDS, MSD, PLLC

  dba Eastside Prosthodontics

  • Prosthodontics
  • Bellevue, WA
  • NPI 1841131406
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1295760585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 302",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882924",
            "telephone_number": "206-575-1086",
            "fax_number": "206-575-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 302",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882924",
            "telephone_number": "206-575-1086",
            "fax_number": "206-575-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "HYUN",
        "middle_name": "JUNG",
        "credential": "DDS MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00009102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsong@pnwperio.com",
            "affiliation": "N",
            "endpointDescription": "PNWPERIO",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "411 Strander Blvd Ste 302",
            "city": "Tukwila",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981882924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krystyna Soltysiak, ARNP
• Robert Cicero Son, RC
• Song Periodontics and Dental Implants PLLC (Pacific Northwest Oral Medicine)
• Song Periodontics and Implants (Pacific northwest oral medicine)
• Ellie Song, DDS
• Ken William Song, DDS
• Anjoo Sood
• Rebecca Sosnovske
• Sound
• Sound Pain Alliance (Tukwila Ambulatory Surgery Center)

• Periodontics in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.