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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SONG B RHIM, D.M.D.

Active Sole Proprietor

DR. SONG B RHIM, D.M.D. is a Periodontology healthcare provider located in JBSA LACKLAND, Texas. NPI 1336369750 is currently active in the NPPES registry. Verify at CMS.

Periodontology · JBSA LACKLAND, TX

Registration Details

NPI Number
1336369750
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2007 (19.322341125665 yrs)
Last Updated
Jan 5, 2021
Licenses
62275 (CA)
13473 (MD)
DDS62275 (CA)
D1034 (GU)
Sole Proprietor
Yes

Practice Information

Address
2133 PEPPERRELL ST
JBSA LACKLAND, TX, 782365313
Browse TX providers · Browse ZIP 78236
Phone
2102922558
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in JBSA LACKLAND, TX

Name Credential NPI
RACHEL WEBER DDS 1417943093
DR. COREY RAWLINS ANDERSON D.S.S., M.S. 1932183282
DR. ALAN CONRAD DICKERSON D.D.S. 1649247123
DR. CASEY MCCRAY CAMPBELL D.D.S., M.S. 1366460693
DR. ANGELA MARIE SYNATZSKE DDS 1912219148
DR. BLAKE HOEDEBECKE DDS, MS 1588924294
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.