Song, Samuel

Song, Samuel is an individual health care provider with primary practice located at 549 Health Blvd , Daytona Beach FL 32114-1493. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Song, Samuel can be contacted via phone (386) 252-6438.

Contact Information

Primary practice address
549 Health Blvd Daytona Beach FL 32114-1493
Phone: (386) 252-6438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN24730 Florida

Profile Details

NPI number 1487117529
LBN Legal business name Song, Samuel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2019
Last updated Jun 24th, 2024 - about 6 months 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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