DR. EUN SUP SONG DDS
NPI 1053507087
Dentist - General Practice in La Crescenta, CA

Q: What is Eun Song's NPI number?

The NPI number for Eun Song is 1053507087. It was assigned to this individual provider in the NPPES registry on September 24, 2007.

Q: What is Eun Song's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eun Song was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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 September 24, 2007

2777 FOOTHILL BLVD, LA CRESCENTA, CA 91214(818) 957-7878(818) 957-7978 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Eun Sup Song Dds NPPES

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

DR. EUN SUP SONG DDS (NPI 1053507087) is an individual general practice provider in La Crescenta, California, licensed in California (42003) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1053507087

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EUN SUP SONGCredential: DDS

Location Address2777 FOOTHILL BLVDLa Crescenta, CA 91214

Mailing Address2777 Foothill BlvdLa Crescenta, CA 91214 · (818) 957-7878 · Fax (818) 957-7978

Phone(818) 957-7878

Fax(818) 957-7978

Sole ProprietorYes

Enumeration DateSeptember 24, 2007

✔ NPI 1053507087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 42003

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.

2777 FOOTHILL BLVD, La Crescenta, CA 91214

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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 Eun Song's NPI number?

The NPI number for Eun Song is 1053507087. It was assigned to this individual provider in the NPPES registry on September 24, 2007.

Where is Eun Song located?

Eun Song practices at 2777 Foothill Blvd, La Crescenta, CA 91214. The listed phone number is (818) 957-7878.

What is Eun 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 Eun Song was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.