DR. SONNY SONG
NPI 1386132223
Dentist - Orthodontics and Dentofacial Orthopedics in Rochester, NY

Active since April 26, 2018
625 ELMWOOD AVE # 683, ROCHESTER, NY 14620(585) 275-8315 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2020, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Sonny Song NPPES

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

DR. SONNY SONG (NPI 1386132223) is an individual orthodontics and dentofacial orthopedics provider in Rochester, New York, licensed in Virginia (0401417149) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1386132223
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. SONNY SONG
Location Address625 ELMWOOD AVE # 683Rochester, NY 14620-2913
Mailing Address625 Elmwood Ave # 683Rochester, NY 14620-2913 · (585) 275-8315
Sole ProprietorYes
Enumeration DateApril 26, 2018
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
NPI 1386132223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in VA · 0401417149
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
625 ELMWOOD AVE # 683, Rochester, NY 14620

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 20

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

Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620
Dentist (Periodontics)
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620

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 Sonny Song's NPI number?

The NPI number for Sonny Song is 1386132223. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Sonny Song located?

Sonny Song practices at 625 Elmwood Ave # 683, Rochester, NY 14620. The listed phone number is (585) 275-8315.

What is Sonny Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Sonny Song accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Sonny Song 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 Sonny Song was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.