SEUNGHAN DEREK SONG, DMD, PC


Address: 281 Cambridge St, Burlington, MA 01803-2543
Phone: 7812725890

SEUNGHAN DEREK SONG, DMD, PC (NPI# 1104481761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104481761
Entity Type Organization
Organization Name SEUNGHAN DEREK SONG, DMD, PC
Practice Address 281 Cambridge St
Burlington
MA 01803-2543
Practice Telephone 7812725890
Practice Fax Number 7812726552
Mailing Telephone 7812725890
Mailing Fax Number 7812726552
Enumeration Date 2019-05-08
Last Update Date 2019-05-08
Authorized Official Name DR. SEUNGHAN SONG (DENTIST/OWNER)
Authorized Official Telephone 7812725890
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Derek Song, DMD Doing Business As Name - Organization

Office Location

Street Address 281 CAMBRIDGE ST
City BURLINGTON
State MA
Zip Code 01803-2543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629062765 Richard G Ruben Pediatrics 281 Cambridge St, Burlington, MA 01803-2543 2005-09-06
1619512076 Mingxia Acupuncture & Herbs Acupuncturist 281 Cambridge St, Burlington, MA 01803-2543 2019-11-08
1962044164 Solid Diagnostics, Inc. Clinical Medical Laboratory 281 Cambridge St, Burlington, MA 01803-2543 2019-10-09
1013453851 Jmh Podiatry Pllc Podiatrist 281 Cambridge St, Burlington, MA 01803-2543 2017-01-18
1275933293 Burlington Podiatry Associates Podiatrist 281 Cambridge St, Burlington, MA 01803-2543 2014-08-27
1487915781 Karen A Cotting Pediatrics 281 Cambridge St, Burlington, MA 01803-2543 2012-06-04
1457544801 Mingxia Lu Acupuncturist 281 Cambridge St, Burlington, MA 01803-2543 2007-08-20
1982754594 Richard G. Ruben, M.d. Pediatrics 281 Cambridge St, Burlington, MA 01803-2543 2007-01-12
1700956430 Louis A Bruno Dentist 281 Cambridge St, Burlington, MA 01803-2543 2006-11-09
1851474910 Herbert Leon Ruben Pediatrics 281 Cambridge St, Burlington, MA 01803-2543 2006-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780219089 Mallika Tara Iyer Behavior Technician 64 S Bedford Street, Burlington, MA 01803 2020-03-06
1518445709 Patriot Urgent Care Professionals, PC General Practice 90 Middlesex Turnpike, Burlington, MA 01803 2018-07-31
1932608122 Danielle Berkowitz Registered Nurse 90 Middlesex Tpke Ste G, Burlington, MA 01803 2018-02-02
1255861860 David William Mahnken Social Worker 11a Cypress Drive, Burlington, MA 01803 2017-06-15
1770030710 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 1300 Middlesex Turnpike, Burlington, MA 01803 2016-09-07
1083091557 Burlington Eye Group, Inc Optometrist 74 Burlington Mall Road, Burlington, MA 01803 2015-05-04
1720485535 Db2 Practice Management Clinic/Center 11 Cambridge St, Burlington, MA 01803 2014-11-21
1689081812 Jasmit Minhas Internal Medicine 9 Kimball Court, Apt 112, Burlington, MA 01803 2014-07-21
1528404993 Alexander David Neusner Surgery 40 Mall Rd, Burlington, MA 01803 2013-05-13
1730421389 First Choice Dental Group Dentist 11 Camridge Street, Burlington, MA 01803 2013-03-21
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962010579 Catherine Eileen Zimmermann Dentist 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 2020-07-20
1609484328 Finn T Evans Dentist 54 Middlesex Tpke # 104, Burlington, MA 01803-4908 2020-07-20
1437796786 Burlington Center Dental Associates, PC Dentist 30 Chestnut Ave Ste 2, Burlington, MA 01803-1604 2019-12-05
1003366790 Advanced Dental Care Dentist 388 Cambridge St, Burlington, MA 01803-1945 2016-10-06
1821455502 Jersey Dental Group Dentist 1900 Mount Holly Rd, Suite 2c, Burlington, NJ 08016-4722 2016-01-26
1972917318 Dr. Oler & Assoc. Burlington, P.a. Dentist 1595 Glidewell Drive Suite #104, Burlington, NC 27215-8243 2014-06-13
1730421389 First Choice Dental Group Dentist 11 Camridge Street, Burlington, MA 01803 2013-03-21
1417219015 Ankush Jindal Dentist 237 Hildred Dr, Burlington, VT 05401-3694 2012-06-11
1447522693 Burlington Dental Associates, P.a Dentist 1130 N Route 130, Burlington, NJ 08016-2900 2012-02-03
1568740967 Natasha S Yegorov Dentist 83 Cambridge St Ste 3a, Burlington, MA 01803-4181 2011-08-02
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Competitor

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City BURLINGTON
Zip Code 01803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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