TAE GON SONG


Address: 507 N Galloway Ave, Mesquite, TX 75149-3405
Phone: 9723297000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
28295 TX Dental Providers

Other Providers TAE SONG

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

Office Location

Street Address 507 N GALLOWAY AVE
City MESQUITE
State TX
Zip Code 75149-3405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215334420 Tae G Song Dds PC Dentist 507 N Galloway Ave, Mesquite, TX 75149-3405 2014-12-03

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

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

Competitor

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City MESQUITE
Zip Code 75149

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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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