KEVIN SONG, DDS, PS
NPI 1164761540
Dentist in Tacoma, WA

Active since February 05, 2013
5221 PACIFIC AVE, TACOMA, WA 98408(253) 475-1521 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Accepts Insurance

About KEVIN SONG, DDS, PS

This page provides the complete NPI Profile along with additional information for Kevin Song, Dds, Ps, a provider established in Tacoma, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1164761540 assigned on February 2013. The practitioner's primary taxonomy code is 122300000X with license number 60065174 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kevin Song Dds (President)

NPI
1164761540 Verify this NPI
Provider Name
KEVIN SONG, DDS, PS
Entity Type
Organization
Location Address
5221 PACIFIC AVE TACOMA, WA 98408
Location Phone
(253) 475-1521
Mailing Address
5221 PACIFIC AVE TACOMA, WA 98408
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2013
Last Update Date
02-05-2013
Code Navigator

A dentist like Kevin Song, Dds, Ps is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
60065174
License State
WA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEVIN SONG DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(253) 475-1521

Reviews for KEVIN SONG, DDS, PS

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
5221 PACIFIC AVE
TACOMA, WA 98408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164761540, enumerated as an "organization" on February 05, 2013.

The provider is located at 5221 PACIFIC AVE TACOMA, WA 98408 and the phone number is (253) 475-1521.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.