Song'S Dentistry a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3487 Issued in NV

Legal business name

SONG'S DENTISTRY A PROFESSIONAL CORPORATION

Practice address

220 E Horizon Dr
Suite F
Henderson, NV 89015-8035

Phone

(702) 563-6956

Fax

(702) 563-6957

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alex Y Song, D.D.S.NPI 1457558918

Title

Owner

Phone

(702) 563-6956

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Care Doing business as

Practitioners 1

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

• Alex Y. Song, D.D.S.

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1457558918
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801970223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR",
            "address_2": "SUITE F",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158035",
            "telephone_number": "702-563-6956",
            "fax_number": "702-563-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR",
            "address_2": "SUITE F",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158035",
            "telephone_number": "702-563-6956",
            "fax_number": "702-563-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG'S DENTISTRY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-563-6956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alana Solomon, LCSW
• Jisu Son
• Rajesh Sonani, M.D.
• Rachel Sonetti, MSN, APRN, PMHNP-BC
• Alex Y. Song, D.D.S.
• Scott Sonnenberg
• Courtney Sonntag
• Anant K Sonpatki, MD
• Sonu R Bhatia MD PC
• Rajat Sood, MD

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.