Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SEJIN SHANE SONG, DDS
Active Sole ProprietorDR. SEJIN SHANE SONG, DDS is a General Dentistry healthcare provider located in PAYNESVILLE, Minnesota. NPI 1740511310 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PAYNESVILLE, MN
Registration Details
- NPI Number
- 1740511310
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2010 (16.529005587561 yrs)
- Last Updated
- Sep 7, 2016
- License
-
D13182 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 WASHBURNE AVEPAYNESVILLE, MN, 563621640Browse MN providers · Browse ZIP 56362
- Phone
- 3202432175
- Fax
- 3202438158
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PAYNESVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| DONALD ARTHER MILLNER | DDS | 1336225838 |
| BRITTANY JANAE YOUNG | DDS | 1871107177 |
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.