DR. ZHENGSHI SONG DDS
NPI 1063483733
Dentist - Oral and Maxillofacial Surgery in Tacoma, WA

Q: What is Zhengshi Song's NPI number?

The NPI number for Zhengshi Song is 1063483733. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Zhengshi Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Zhengshi Song was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 30, 2006

1215 S 11TH ST, TACOMA, WA 98405(532) 809-8402(253) 272-1952 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2025, Feb 3, 2025, Jul 3, 2024 (3 updates tracked since 2024).

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About Dr. Zhengshi Song Dds NPPES

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

DR. ZHENGSHI SONG DDS (NPI 1063483733) is an individual oral and maxillofacial surgery provider in Tacoma, Washington, licensed in Washington (DE00009411) and active in the NPI registry since January 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063483733

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. ZHENGSHI SONGCredential: DDS

Location Address1215 S 11TH STTacoma, WA 98405-4020

Mailing Address480 Central AveJbphh, HI 96860-4908 · (757) 953-2711 · Fax (757) 953-0846

Phone(532) 809-8402

Fax(253) 272-1952

Sole ProprietorYes

Enumeration DateJanuary 30, 2006

Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2025

✔ NPI 1063483733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in WA · DE00009411

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License DE00009411 (WA)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE00009411 (WA)

1215 S 11TH ST, Tacoma, WA 98405

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Secondary Practice Locations 2

Location 17424 Bridgeport Way WLakewood, WA 98499-8120 · Phone (253) 581-2112 · Fax (253) 240-2102

Location 23712 S Cedar StTacoma, WA 98409-5715 · Phone (253) 682-2860 · Fax (253) 682-2191

Other Providers at the Same Location NPPES 5

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

SEA MAR COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))