George Yi-Jaan Soung, DDS, FAAOMS, FACOMS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9533 Issued in NC

Practice address

14746 Lancaster Hwy # B
Pineville, NC 28134-9313

Phone

(704) 583-5217

Fax

(704) 200-9913

NPI assigned

Jun 2, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Roupas Sullivan Tremont PLLC-2

  • Dentist
  • Pineville, NC
  • NPI 1255171104
  NPD
• FD Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
  • NPI 1154196020
  NPD (past)

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

{
    "created_epoch": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1619314556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 PARK SOUTH STATION BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104473",
            "telephone_number": "724-244-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14746 LANCASTER HWY # B",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349313",
            "telephone_number": "704-583-5217",
            "fax_number": "704-200-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUNG",
        "first_name": "GEORGE",
        "middle_name": "YI-JAAN",
        "name_prefix": "Dr.",
        "credential": "DDS, FAAOMS, FACOMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-02",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toi Singleton
• Divia L. Smith, NP
• Robert Smyth
• SNH NC Tenant LLC
• SNH NC Tenant LLC
• Speech Innovation, PLLC
• Elena St. Onge, LAT, ATC
• Stacey L. Norris, D.M.D., P.a.
• Stephens Counseling and Consulting Services, PLLC
• Edna Stephens, LPC

• Oral and Maxillofacial Surgery (Dentist) in Pineville, NC
• Providers in Pineville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.