Gunhee Song, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019034579 Issued in IL

Practice address

2964 Commerce Dr
McHenry, IL 60051-5409

Phone

(815) 363-0103

NPI assigned

Jun 21, 2022

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Modern Dental Professionals, Minnesota PC

  dba Midwest Dental

  • Dentist
  • Faribault, MN
  • NPI 1427298637
  NPD (past)
• Nomeland Dental LLC

  • Dentist
  • Faribault, MN
  • NPI 1184847568
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1417688391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HERITAGE PL",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215248",
            "telephone_number": "507-334-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 COMMERCE DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600515409",
            "telephone_number": "815-363-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "GUNHEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14781",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019034579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Snelten, MSW
• Melissa A Snyder, SLP
• Adenike Sokunbi
• Chava Solberg
• Karla K Solis, LCSW-S
• Theresa Marie Sonneville
• Margaret Sorrells, PA-C
• Ryan Sotiroff, PT,DPT
• Rosa R Soto, ROSA
• Soulbird Integrative

• General Practice Dentistry in McHenry, IL
• Providers in McHenry, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.