JONATHAN SONG D.D.S.
NPI 1659757375
Dentist - General Practice in Anaheim, CA

Q: What is Jonathan Song's NPI number?

The NPI number for Jonathan Song is 1659757375. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Q: What is Jonathan Song's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Song was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 04, 2015

1134 N STATE COLLEGE BLVD STE C, ANAHEIM, CA 92806(714) 772-2698 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jonathan Song D.d.s. NPPES

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

JONATHAN SONG D.D.S. (NPI 1659757375) is an individual general practice provider in Anaheim, California, licensed in California (64849) and active in the NPI registry since August 2015. He maintains a secondary practice location in Inglewood.

NPPES Registry Identity

NPI1659757375

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJONATHAN SONGCredential: D.D.S.

Location Address1134 N STATE COLLEGE BLVD STE CAnaheim, CA 92806

Mailing Address936 S Olive St Apt 734Los Angeles, CA 90015-3679 · (262) 719-6842

Phone(714) 772-2698

Sole ProprietorNo

Enumeration DateAugust 4, 2015

Last NPPES UpdateSeptember 11, 2018

✔ NPI 1659757375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 64849

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.

1134 N STATE COLLEGE BLVD STE C, Anaheim, CA 92806

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Secondary Practice Location 1

Location 13530 W Century Blvd Ste 107Inglewood, CA 90303-1234 · Phone (262) 719-6842

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 Jonathan Song's NPI number?

The NPI number for Jonathan Song is 1659757375. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Jonathan Song located?

Jonathan Song practices at 1134 N State College Blvd Ste C, Anaheim, CA 92806. The listed phone number is (714) 772-2698.

What is Jonathan Song's specialty?

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

When was this NPI record last updated?

The NPPES record for Jonathan Song was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.