Eunice Song, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EUNICE SONG, DDS, PC

Doing business as

Peony Dental

Practice address

9378 Forestwood LN Ste a
Manassas, VA 20110-4742

Phone

(703) 659-1111

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eunice Song, DDSNPI 1427392729

Title

President/Dentist

Phone

(703) 659-1111

Specialties & licenses 1

Addresses

Other names 1

• Peony Dental 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, and the practitioner matching its NPPES authorized official.

• Eunice Song, D.D.S.

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1427392729
  Authorized official Same address or phone

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1508401753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742",
            "telephone_number": "703-659-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742",
            "telephone_number": "703-659-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE SONG, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "703-659-1111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peony Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Manassas, VA
• Providers in Manassas, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.