Song, Jun S

Song, Jun S is an individual health care provider with primary practice located at 46-01 Bell Blvd. , Bayside NY 11361. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Song, Jun S can be contacted via phone (718) 281-2222.

Contact Information

Primary practice address
46-01 Bell Blvd. Bayside NY 11361
Phone: (718) 281-2222
Fax: (718) 281-2822
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048211 New York
Dental Providers / Periodontics 1223P0300X 048211 New York

Profile Details

NPI number 1538372073
LBN Legal business name Song, Jun S
Credentials DDS, MMSC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Oct 4th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538372073 NPPES
New York MEDICAID 02455109

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