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DR. GRACE SONG DDS
NPI 1396422796
Dentist - General Practice in University Place, WA

Active since June 28, 2023PECOS Enrolled
3708 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466(253) 215-1107 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grace Song Dds NPPES

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

DR. GRACE SONG DDS (NPI 1396422796) is an individual general practice provider in University Place, Washington, licensed in Washington (DE61434179) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Puyallup.

NPPES Registry Identity

NPI1396422796
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GRACE SONGCredential: DDS
Location Address3708 BRIDGEPORT WAY WUniversity Place, WA 98466-4419
Mailing Address3918 S Kenyon St Unit CSeattle, WA 98118-4065 · (240) 401-8383
Phone(253) 215-1107
Sole ProprietorNo
Enumeration DateJune 28, 2023
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1396422796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE61434179
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3708 BRIDGEPORT WAY W, University Place, WA 98466
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Secondary Practice Location 1

Location 1732 Shaw Rd Ste BPuyallup, WA 98372-5278 · Phone (253) 267-7112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grace Song Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

SIMRAH AJMAL
Dentist
3708 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 215-1107
COLIN DAVIS DDS
Dentist
3708 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 720-4324
WASHINGTON DENTAL CORPORATION, PC
Dentist (General Practice)
3708 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 215-1107

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 Grace Song's NPI number?

The NPI number for Grace Song is 1396422796. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Grace Song located?

Grace Song practices at 3708 Bridgeport Way W, University Place, WA 98466. The listed phone number is (253) 215-1107.

What is Grace Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Grace Song enrolled in Medicare?

Yes. Grace Song is registered in the Medicare PECOS enrollment system.

What insurance does Grace Song accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Grace 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 Grace Song was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.