DR. SEJIN SHANE SONG DDS
NPI 1740511310
Dentist - General Practice in Paynesville, MN

Active since January 21, 2010
107 WASHBURNE AVE, PAYNESVILLE, MN 56362(320) 243-2175(320) 243-8158 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sejin Shane Song Dds NPPES

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

DR. SEJIN SHANE SONG DDS (NPI 1740511310) is an individual general practice provider in Paynesville, Minnesota, licensed in Minnesota (D13182) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1740511310
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SEJIN SHANE SONGCredential: DDS
Location Address107 WASHBURNE AVEPaynesville, MN 56362-1640
Mailing Address107 Washburne AvenuePaynesville, MN 56362 · (320) 243-2175 · Fax (320) 243-8158
Fax(320) 243-8158
Sole ProprietorYes
Enumeration DateJanuary 21, 2010
Last NPPES UpdateSeptember 7, 2016
NPI 1740511310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D13182
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.

107 WASHBURNE AVE, Paynesville, MN 56362

Accepted Insurance

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 Sejin Song's NPI number?

The NPI number for Sejin Song is 1740511310. It was assigned to this individual provider in the NPPES registry on January 21, 2010.

Where is Sejin Song located?

Sejin Song practices at 107 Washburne Ave, Paynesville, MN 56362. The listed phone number is (320) 243-2175.

What is Sejin Song's specialty?

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

What insurance does Sejin Song accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sejin 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 Sejin Song was last updated on September 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.