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

Q: What is Kevin Song, Dds, Ps's NPI number?

The NPI number for Kevin Song, Dds, Ps is 1164761540. It was assigned to this organization in the NPPES registry on February 5, 2013.

Q: What is Kevin Song, Dds, Ps's specialty?

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

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: August 16, 2026.

On this page

About Kevin Song, Dds, Ps NPPES

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

KEVIN SONG, DDS, PS (NPI 1164761540) is a healthcare organization registered as a dentist in Tacoma, Washington and active in the NPI registry since February 2013. The organization lists Kevin Song, President, as its authorized official.

NPPES Registry Identity

NPI1164761540

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKEVIN SONG, DDS, PS

Location Address5221 PACIFIC AVETacoma, WA 98408-7625

Mailing Address5221 Pacific AveTacoma, WA 98408-7625

Phone(253) 475-1521

Organization SubpartNo

Authorized OfficialKevin SongPresident · (253) 475-1521

Enumeration DateFebruary 5, 2013

✔ NPI 1164761540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · 60065174

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.

5221 PACIFIC AVE, Tacoma, WA 98408

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

DR. DUANE HIDEO MAYEDA D.D.S.

Dentist (General Practice)

5221 PACIFIC AVE
TACOMA, WA 98408

Pierce County (253) 475-1521

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 Kevin Song, Dds, Ps's NPI number?

The NPI number for Kevin Song, Dds, Ps is 1164761540. It was assigned to this organization in the NPPES registry on February 5, 2013.

Where is Kevin Song, Dds, Ps located?

Kevin Song, Dds, Ps is located at 5221 Pacific Ave, Tacoma, WA 98408. The listed phone number is (253) 475-1521.

What is Kevin Song, Dds, Ps's specialty?

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

What insurance does Kevin Song, Dds, Ps accept?

Health plans from UnitedHealthcare list Kevin Song, Dds, Ps 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 Kevin Song, Dds, Ps was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.