TAE GON SONG (NPI# 1346591906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346591906 |
Entity Type | Individual |
Full Name | TAE GON SONG |
Credential | DDS |
Practice Address |
507 N Galloway Ave Mesquite TX 75149-3405 |
Practice Telephone | 9723297000 |
Mailing Telephone | 9723297000 |
Enumeration Date | 2012-09-24 |
Last Update Date | 2015-09-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
28295 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821441825 | Tae Jin Song | Dentist | 103 E Ovilla Rd, Red Oak, TX 75154-2490 | 2016-07-14 |
1053564732 | Tae H Song | Surgery | 55 Fruit St, Blake 1570, Boston, MA 02114-2621 | 2008-10-28 |
1679749188 | Tae J Song | Podiatrist | 1310 Continental St, Redding, CA 96001-0839 | 2008-05-05 |
1043407430 | Tae Kyung Song | Surgery | 300 Pasteur Dr, Room H3600, Stanford, CA 94305-2200 | 2007-09-28 |
Street Address |
507 N GALLOWAY AVE |
City | MESQUITE |
State | TX |
Zip Code | 75149-3405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215334420 | Tae G Song Dds PC | Dentist | 507 N Galloway Ave, Mesquite, TX 75149-3405 | 2014-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
Find all providers in zip 75149 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609411800 | Mesquite Dental Clinic Pllc | Dentist | 2411 N Galloway Ave Ste 128, Mesquite, TX 75150-7688 | 2019-11-12 |
1639661150 | Truecare Dentistry Pllc | Dentist | 1080 E Cartwright Rd Ste 180, Mesquite, TX 75149-6621 | 2018-05-31 |
1245751114 | Payden Blake Anderson | Dentist | 340 Falcon Ridge Pkwy Ste 303, Mesquite, NV 89027-8851 | 2017-06-30 |
1053769356 | My Teeth Dental Orthodontics Pllc | Dentist | 2063 Town East Mall Ste 1036, Mesquite, TX 75150-4118 | 2016-05-26 |
1215397617 | Orange Dental Pllc | Dentist | 2615 Interstate 30, Mesquite, TX 75150-2704 | 2016-02-26 |
1821497900 | Dawit Goshimea | Dentist | 1336 N Galloway Ave Ste 110, Mesquite, TX 75149-2490 | 2014-08-14 |
1962816355 | Rene Javier Loera Jr. | Dentist | 3133 N Town East Blvd, Mesquite, TX 75150 | 2014-06-13 |
1952711681 | Divya Nagaraj | Dentist | 1050 N Belt Line Rd Ste 102, Mesquite, TX 75149-1771 | 2014-05-02 |
1164848628 | Jordan Blake Mchone | Dentist | 1765 N Town East Blvd Ste 111, Mesquite, TX 75150 | 2014-03-07 |
1750630265 | Brittaney Lee Glazer | Dentist | 1765 N Town East Blvd, #111, Mesquite, TX 75150-4172 | 2012-08-30 |
Find all providers in MESQUITE |
Please comment or provide details below to improve the information on TAE GON SONG.
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.