Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAE YUN SONG DMD
NPI 1053381848
Dentist in Ft Gordon, GA

Q: What is Jae Yun Song's NPI number?

The NPI number for Jae Yun Song is 1053381848. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Jae Yun Song's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Yun Song was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since January 24, 2006

BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905(706) 787-6927(706) 787-2082 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jae Yun Song Dmd NPPES

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

DR. JAE YUN SONG DMD (NPI 1053381848) is an individual dentist in Ft Gordon, Georgia, licensed in Massachusetts (20293) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1053381848

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JAE YUN SONGCredential: DMD

Location AddressBLDG 38717 38TH STREET, USA DENTACFt Gordon, GA 30905-5660

Mailing AddressBldg 38717 38th Street, Usa DentacFt Gordon, GA 30905-5660 · (706) 787-6927 · Fax (706) 787-2082

Phone(706) 787-6927

Fax(706) 787-2082

Sole ProprietorNo

Enumeration DateJanuary 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1053381848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · 20293

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

BLDG 38717 38TH STREET, Ft Gordon, GA 30905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. JOHN WILLIAM MCCANN DDS

Dentist

BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

Richmond County (706) 787-6927

DR. DANIEL DAVID DUNHAM DDS

Dentist (Prosthodontics)

BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

Richmond County (706) 787-6927

DR. DAVID BENTLEY ROBERSON DMD

Dentist

BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

Richmond County (706) 787-6927

DR. JASON SCOTT BULLOCK D.M.D

Dentist

BLDG 38717 38TH STREET, USA DENTAL ACTIVITY
FORT GORDON, GA 30905

Richmond County (706) 787-6927

DR. THOMAS ALEXANDER SULLIVAN DDS

Dentist

BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

Richmond County (706) 787-6927

DR. AGNIESZKA KUCHARSKA-FRANIA DDS

Dentist

BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

Richmond County (706) 787-6927

SPENCER HILL

Dentist (General Practice)

BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

Richmond County (706) 787-6927

DR. KARIN MACAYLA JAMISON DMD

Dentist (General Practice)

BLDG 38717 38TH STREET, USA DENTAC
FT GORDON, GA 30905

Richmond County (706) 787-6927

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 Jae Yun Song's NPI number?

The NPI number for Jae Yun Song is 1053381848. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Jae Yun Song located?

Jae Yun Song practices at Bldg 38717 38th Street Usa Dentac, Ft Gordon, GA 30905. The listed phone number is (706) 787-6927.

What is Jae Yun Song's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jae Yun Song accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Jae Yun Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Yun Song was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.