Michael S. Song DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL S. SONG DDS, PC

Practice address

3975 Fair Ridge Dr
Suite #301N
Fairfax, VA 22033-2911

Phone

(703) 385-5455

NPI assigned

Nov 12, 2015

Organization subpart

Yes

Parent organization

POTOMAC VALLEY DENTAL CARE, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Michael S. Song, DDSNPI 1235318569

Title

Dentist/Owner

Phone

(703) 385-5455

Specialties & licenses 1

Addresses

Other names 1

• FC dental Doing business as

Part of

Giovanni P Iuculano DDS PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Potomac Valley Dental Care PLLC

  • Dentist
  • Centreville, VA
  • NPI 1013387737
  NPPES parent name

Practitioners 1

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

• Michael Soo-Hyung Song, D.D.S.

  • Dentist
  • Fairfax, VA
  • NPI 1235318569
  NPD (past) Authorized official

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1336512342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 FAIR RIDGE DR",
            "address_2": "SUITE #301N",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332911",
            "telephone_number": "703-385-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 FAIR RIDGE DR",
            "address_2": "SUITE #301N",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332911",
            "telephone_number": "703-385-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. SONG DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC VALLEY DENTAL CARE, PLLC",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "703-385-5455",
        "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": "FC dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven A Meyers, MD
• Osita Mgbendi, DNP- PMHNP
• Michael D Kim MD PC
• Michael R. Hryvniak, M.D., P.C.
• Michael S. Chung, M.D., P.C.
• Michael W. Chang, DDS, PLLC
• Nancy Beth Michael, SLP
• Dayna Michaelson
• Marissa Michalski, M.S., CCC-SLP
• Ernest Lee Michel, M.D.

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.