Song Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SONG DENTAL PLLC

Doing business as

Song Dental

Practice address

6717 Kingery Hwy
Willowbrook, IL 60527

Phone

(630) 655-8781

Fax

(630) 566-8211

NPI assigned

Jan 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brian Song, DDSNPI 1083108468

Title

Owner/President

Phone

(630) 655-8781

Specialties & licenses 1

Addresses

Other names 1

• Song Dental Doing business as

Locations

Practitioners 2

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

• Brian Song

  • Dentist
  • Willowbrook, IL
  • NPI 1083108468
  NPD Authorized official
• Arthur Dunn Munar, DDS

  • Dentist
  • Willowbrook, IL
  • NPI 1558384636
  NPD (past)

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1780274746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-655-8781",
            "fax_number": "630-566-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-655-8781",
            "fax_number": "630-566-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-655-8781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Song Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Song Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice M Smith-White, PT
• Andrea Lynn Smith, MS, CCC-SLP
• Terry J Smith, DC
• Mary M Smyers-Karaffa, SLPD, CCC-SLPD
• Somethings Medical PA (Somethings Medical of IL)
• Brian Song
• Peter Jan Sopel, MHS CF-SLP
• Tania Sosa Aguilar
• Soumya Health, LLC
• Southwest Medical Consultants, S.C.

• Dentist in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.