NPIMap

Organization Active NPI

Song Dental Group, Inc.

  • Oral and Maxillofacial Surgery Clinic/Center
  • San Francisco, CA
National Provider Identifier
1649599267
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
SONG DENTAL GROUP, INC.
Practice address
3109 Geary Blvd
San Francisco, CA 94118-3316
Phone
(415) 668-8600
Fax
(415) 668-8601
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Authorized official

Name
Dr. Dennis Song, MD DDSNPI 1932235470
Title
President
Phone
(415) 668-8600

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
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

3109 Geary Blvd
San Francisco, CA 94118-3316

Mailing address

3109 Geary Blvd
San Francisco, CA 94118-3316
Phone (415) 668-8600

Other names 1

  • Song Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

3109 Geary Blvd
San Francisco, CA 94118
Phone (415) 668-8600

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1649599267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183316",
            "telephone_number": "415-668-8600",
            "fax_number": "415-668-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183316",
            "telephone_number": "415-668-8600",
            "fax_number": "415-668-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-668-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Song Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.