NPIMap

Organization Active NPI

Song Periodontics and Dental Implants PLLC

Doing business as Pacific Northwest Oral Medicine

  • Periodontics
  • Tukwila, WA
National Provider Identifier
1386202539
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SONG PERIODONTICS AND DENTAL IMPLANTS PLLC
Doing business as
Pacific Northwest Oral Medicine
Pacific Northwest Periodontics
Song Periodontics and Dental Implants
Practice address
411 Strander Blvd Ste 302
Tukwila, WA 98188-2924
Phone
(206) 575-1086
NPI assigned
Jun 3, 2019
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Dr. Hyun Jung SongNPI 1295760585
Title
Owner
Phone
(206) 575-1086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary
Dental Clinic/Center 261QD0000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

411 Strander Blvd Ste 302
Tukwila, WA 98188-2924

Mailing address

411 Strander Blvd Ste 302
Tukwila, WA 98188-2924
Phone (206) 575-1086

Other names 4

  • Pacific Northwest Oral Medicine Doing business as
  • Pacific Northwest Periodontics Doing business as
  • SONG PERIODONTICS AND DENTAL IMPLANTS Doing business as
  • PACIFIC NW PERIODONTICS Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.pnwperiodontics.com/&ved=2ahUKEwi2jLyctsiPAxWfFDQIHdxwDuEQFnoECEMQAQ&usg=AOvVaw24sCmLp_HsUDkFTye4_8cd Direct

National Provider Directory

National Provider Directory
Tax ID family
Pacific Northwest Oral Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21807 76th Ave W
Edmonds, WA 98026
Phone (425) 775-2002

411 Strander Blvd
Ste 302
Tukwila, WA 98188
Phone (206) 250-0299

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1386202539",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG PERIODONTICS AND DENTAL IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-575-1086",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.pnwperiodontics.com/&ved=2ahUKEwi2jLyctsiPAxWfFDQIHdxwDuEQFnoECEMQAQ&usg=AOvVaw24sCmLp_HsUDkFTye4_8cd",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "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": [
        {
            "organization_name": "Pacific Northwest Oral Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Northwest Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SONG PERIODONTICS AND DENTAL IMPLANTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACIFIC NW PERIODONTICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.