Hyunna Song DMD, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

054879 Issued in NY

Legal business name

HYUNNA SONG DMD, P.C.

Practice address

566 Suffolk Ave
Brentwood, NY 11717-4210

Phone

(631) 813-2008

Fax

(631) 813-2009

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By 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

Dr. Hyunna SongNPI 1083933113

Title

Orthodontist

Phone

(631) 813-2008

Specialties & licenses 1

Addresses

Locations

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.

• Hyunna Song, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hauppauge, NY
  • NPI 1083933113
  NPD (past) Authorized official
• Young Hoon Chung, DMD

  • Dentist
  • Brentwood, NY
  • NPI 1588845341
  NPD (past)
• Hanna Song, D.D.S.

  • General Practice Dentistry
  • Brentwood, NY
  • NPI 1003098476
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1740543230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALDERWOOD LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174210",
            "telephone_number": "631-813-2008",
            "fax_number": "631-813-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNNA SONG DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HYUNNA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "631-813-2008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam N Hopkins, DC
• Xing Ling Huang
• Sondra Raynette Huggins
• Maureen Hunt-Treston, R.N.
• Jennifer Hyman, LPN
• Jamie Nicole Iacobelli, R.N.
• Mark Anthony Sosa Ilao, PT
• Impact RN PLLC
• In Sync Suffolk Chiropractic P.C.
• Ann Ingellis, LCSW-R

• Orthodontics and Dentofacial Orthopedics Dentistry in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.