JINJU SONG DMD PLLC


Address: 9707 Ne 119th Way, Kirkland, WA 98034-8955
Phone: 4253108338

JINJU SONG DMD PLLC (NPI# 1497248017) 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) 1497248017
Entity Type Organization
Organization Name JINJU SONG DMD PLLC
Other Organization Name JUANITA KIDS DENTISTRY
Practice Address 9707 Ne 119th Way
Kirkland
WA 98034-8955
Practice Telephone 4253108338
Practice Fax Number 4254495933
Mailing Telephone 4253108338
Mailing Fax Number 4254495933
Enumeration Date 2018-06-08
Last Update Date 2018-06-08
Authorized Official Name JINJU SONG (OWNER/DOCTOR)
Authorized Official Telephone 4253108338
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DE60300517 WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LICENSE DE60300517 01
INDIVIDUAL NPI 1255644316 01

Other Provider/Organization Names

Other Name Type Code
Juanita Kids Dentistry Doing Business As Name - Organization

Office Location

Street Address 9707 NE 119TH WAY
City KIRKLAND
State WA
Zip Code 98034-8955

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578116596 Rachel Bowers Behavior Technician 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 2019-07-18
1740841048 Kristina Louise Inghram Behavior Technician 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 2019-06-26
1053978064 Matthew A. Bagnulo, Dds, Ps Dentist 11830 Ne 128th St., #202, Kirkland, WA 98034 2019-05-24
1629568928 Stephanie Michalko Optometrist 11800 Ne 128th St Ste 110, Kirkland, WA 98034 2018-05-14
1952800013 Heath Family Counseling LLC Marriage & Family Therapist 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 2018-02-05
1891202834 Barbara Josephine Gorham Counselor 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 2017-12-29
1548782915 Eleanor Hollis Wall Counselor 14340 102nd Ave Ne, Kirkland, WA 98034 2017-07-07
1457885212 Peter Schoonmaker Hospitalist 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 2017-04-18
1780124370 Rebecca Managan Advanced Practice Midwife 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 2017-03-01
1669821104 Winter Gonzalez Counselor 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 2016-06-06
Find all providers in zip 98034

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255644316 Jinju Song Dentist 12410 87th Ct Ne, Kirkland, WA 98034-6033 2010-07-19
1265495196 Susan Kim Dds Dentist 12910 Totem Lake Blvd Ne Ste 103, Kirkland, WA 98034 2006-04-11
1306225511 Kirkland Kids Dentistry Dentist 13118 121st Way Ne, Suite 103, Kirkland, WA 98034-3004 2015-05-20
1174881759 Aimee Kong Dds Pllc Dentist 620 Kirkland Way, Suite 102, Kirkland, WA 98033-6021 2012-05-02
1982910410 Aimee L Kong Dentist 620 Kirkland Way, Suite 102, Kirkland, WA 98033-6021 2010-08-22
1871652032 Clinton Thomas Worton Dentist 620 Kirkland Way, Suite 102, Kirkland, WA 98033-6021 2006-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740807890 Plateau Kids Dentistry, LLC Dentist 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 2020-07-05
1528603503 Ellen Polsky Dds and Bobby Virk Dmd, Ps Dentist 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 2019-11-13
1942843552 Laura Stewart Dds Pllc Dentist 6821 Ne 181st St, Kenmore, WA 98028-5034 2019-10-26
1639736119 Southcenter Children's Dentistry Dentist 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 2019-05-21
1770147001 Kaitlin Neste Pllc Dentist 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 2019-04-22
1124511126 Roger Lucas, P.s. Dentist 3806 116th St. Ne, Marysville, WA 98271 2018-06-13
1861999864 Peter Douglas Dentist 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 2018-04-07
1669994042 Annikka Louise Frostad-thomas Dentist 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 2017-07-07
1831624402 Minh Dau, Dds and Raymond Park, Dds Pllc Dentist 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 2017-04-20
1306370572 Sonu Lamba and Paul S Kahlon, Ps Dentist 13209 44th Ave Se, Mill Creek, WA 98012-8985 2017-04-14
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Competitor

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City KIRKLAND
Zip Code 98034

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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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