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

Q: 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.

Q: What is Sejin 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 Sejin Song was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 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: August 16, 2026.

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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

Phone(320) 243-2175

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.