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DR. TONY YOUNGCHANG SONG DMD
NPI 1053149617
Dentist - General Practice in Fort Polk, LA

Active since July 24, 2024
7223 MISSISSIPPI AVE, FORT POLK, LA 71459(726) 780-2175 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tony Youngchang Song Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TONY YOUNGCHANG SONG DMD (NPI 1053149617) is an individual general practice provider in Fort Polk, Louisiana, licensed in Utah (14065149-9926) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1053149617
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TONY YOUNGCHANG SONGCredential: DMD
Location Address7223 MISSISSIPPI AVEFort Polk, LA 71459
Mailing Address7223 Mississippi AveFort Polk, LA 71459 · (726) 780-2175
Phone(726) 780-2175
Sole ProprietorNo
Enumeration DateJuly 24, 2024
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1053149617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 14065149-9926
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7223 MISSISSIPPI AVE, Fort Polk, LA 71459
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIELLE MILLER
Dentist
7223 MISSISSIPPI AVE, DENTAC, BLDG 1561
FT POLK, LA 71459
Vernon Parish (337) 531-2603
STEPHANIE DYANE THOMAS DDS
Dentist (General Practice)
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Vernon Parish (337) 531-4762
DR. AIDAN MYLES MCCORMICK DDS
Dentist
7223 MISSISSIPPI AVE, BUILDING 1561
FORT POLK, LA 71459
Vernon Parish (337) 531-2603
DR. JOHN MICHAEL MCKELVEY JR. DDS
Dentist (Oral and Maxillofacial Surgery)
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Vernon Parish (726) 780-1451
RILEY BARNETT DMD
Dentist (General Practice)
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Vernon Parish (726) 780-1290
MINDY BOLINE RDH
Dental Hygienist
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Vernon Parish (337) 531-2121
DR. ZACHARY JACOB JACKSON
Dentist (Endodontics)
7223 MISSISSIPPI AVE
FORT POLK, LA 71459
Vernon Parish (726) 780-1451
JOHN PITZER
Dentist
7223 MISSISSIPPI AVE
APO, AA 71459
Vernon Parish (337) 531-2603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tony Song's NPI number?

The NPI number for Tony Song is 1053149617. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Tony Song located?

Tony Song practices at 7223 Mississippi Ave, Fort Polk, LA 71459. The listed phone number is (726) 780-2175.

What is Tony Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tony Song was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.