DR. ISSE SONG DENTAL OFFICE (NPI# 1659319655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659319655 |
| Entity Type | Organization |
| Organization Name | DR. ISSE SONG DENTAL OFFICE |
| Practice Address |
12554 S John Young Pkwy #104 Orlando FL 32837-4004 |
| Practice Telephone | 4078881088 |
| Practice Fax Number | 4078881889 |
| Mailing Telephone | 4078881088 |
| Mailing Fax Number | 4078881889 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ISSE SONG (D.M.D., PH. D.,FAGD/ DOCTOR) |
| Authorized Official Telephone | 4078881088 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN11703 | FL | Dental Providers |
| Street Address |
12554 S JOHN YOUNG PKWY #104 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785515 | Stewart M Dobbins II | Pediatrics | 12554 S John Young Pkwy, Ste 102, Orlando, FL 32837 | 2005-10-25 |
| 1790232866 | Advanced Physical Medicine Inc | Clinic/Center | 12554 S John Young Pkwy, Suite 103, Orlando, FL 32837-4004 | 2016-09-07 |
| 1003238650 | Isse Song | Dentist | 12554 S John Young Pkwy, Suite104, Orlando, FL 32837-4004 | 2014-01-16 |
| 1801158035 | Total Health Chiropractic of Hunters Creek | Chiropractor | 12554 S John Young Pkwy, 103, Orlando, FL 32837-4004 | 2012-06-13 |
| 1376795302 | Stewart M. Dobbins II Md, Pa | Pediatrics | 12554 S John Young Pkwy, Suite 102, Orlando, FL 32837 | 2008-10-22 |
| 1538296355 | Tim W Lincoln | Optometrist | 12554 S John Young Pkwy, Suite101, Orlando, FL 32837-4004 | 2007-02-28 |
| 1821125642 | Gail D Lincoln | Optometrist | 12554 S John Young Pkwy, Suite 101, Orlando, FL 32837-4004 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| 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 |
|---|---|---|---|---|
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1821609454 | Ideal Dental of Lake Nona | Dentist | 12851 Narcoossee Rd Ste 400, Orlando, FL 32832-7155 | 2020-08-17 |
| 1063023703 | Muhammad Sheryar Khan | Dentist | 11712 Savona Way, Orlando, FL 32827-7243 | 2020-08-16 |
| 1306464805 | Orlando Implants Center Pa | Dentist | 300 Gatlin Ave Ste 1-b, Orlando, FL 32806-6951 | 2020-07-10 |
| 1720601628 | Amber Lynn Medellin | Dentist | 7861 Jubilee Park Blvd Apt 2412, Orlando, FL 32822-5258 | 2020-05-26 |
| 1134741960 | Karoline Anne Biami | Dentist | 1444 Alden Rd Apt 502, Orlando, FL 32803-1973 | 2020-05-14 |
| 1568083020 | Ricardo J Cermeno Sr. | Dentist | 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 | 2020-05-06 |
| 1871149120 | Damien Phillips Blanco | Dentist | 6784 Eagle Watch Dr Ste 550, Orlando, FL 32822-2355 | 2019-08-13 |
| 1144872029 | My Forever Smiles LLC | Dentist | 7208 W Sand Lake Rd Ste 104, Orlando, FL 32819-5277 | 2019-07-11 |
| Find all providers in ORLANDO | ||||
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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.