Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IN HEE SONG, D.M.D., M.D.
Active Sole ProprietorDR. IN HEE SONG, D.M.D., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in PLACERVILLE, California. NPI 1447523667 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PLACERVILLE, CA
Registration Details
- NPI Number
- 1447523667
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 18, 2012 (14.443204420504 yrs)
- Last Updated
- Feb 10, 2025
- Licenses
-
059801 (NY)294967 (NY)OMS125 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1004 FOWLER WAY STE 9PLACERVILLE, CA, 956675746Browse CA providers · Browse ZIP 95667
- Phone
- 5303280360
- Fax
- 5303280365
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery
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.