IN HEE SONG DMD, MD, INC
NPI 1144092479
Dentist - Oral and Maxillofacial Surgery in Placerville, CA

Active since October 30, 2023
1004 FOWLER WAY STE 9, PLACERVILLE, CA 95667(530) 328-0360(530) 328-0365 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2025, Nov 7, 2023, Oct 30, 2023 (3 updates tracked since 2023).

About In Hee Song Dmd, Md, Inc NPPES

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

IN HEE SONG DMD, MD, INC (NPI 1144092479) is a healthcare organization registered as an oral and maxillofacial surgery in Placerville, California and active in the NPI registry since October 2023. The organization lists In Hee Song, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144092479
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameIN HEE SONG DMD, MD, INC
Location Address1004 FOWLER WAY STE 9Placerville, CA 95667-5746
Mailing Address1004 Fowler Way Ste 9Placerville, CA 95667-5746 · (530) 328-0360
Fax(530) 328-0365
Organization SubpartNo
Authorized OfficialIn Hee SongCeo · (530) 328-0360
Enumeration DateOctober 30, 2023
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
NPI 1144092479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
1004 FOWLER WAY STE 9, Placerville, CA 95667

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
1004 FOWLER WAY STE 9
PLACERVILLE, CA 95667

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 In Hee Song Dmd, MD, Inc's NPI number?

The NPI number for In Hee Song Dmd, MD, Inc is 1144092479. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is In Hee Song Dmd, MD, Inc located?

In Hee Song Dmd, MD, Inc is located at 1004 Fowler Way Ste 9, Placerville, CA 95667. The listed phone number is (530) 328-0360.

What is In Hee Song Dmd, MD, Inc's specialty?

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

What insurance does In Hee Song Dmd, MD, Inc accept?

Health plans from UnitedHealthcare list In Hee Song Dmd, MD, Inc 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 In Hee Song Dmd, MD, Inc was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.