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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
Other Name | Type Code |
---|---|
Derek Song, DMD | Doing Business As Name - Organization |
Street Address |
281 CAMBRIDGE ST |
City | BURLINGTON |
State | MA |
Zip Code | 01803-2543 |
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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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 |
Find all providers in zip 01803 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
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 |
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 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 01803 |
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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.