Individual provider · Type 1 NPI

Alice Song

Dentist · Fayetteville, NC

NPI number 1063368744 Active

Practice location

2300 Ramsey St
Fayetteville, NC 28301-3856

Mailing address

3119 Dorset Grove Rd
Apex, NC 27523-9606

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X14708 (NC)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1063368744

Alice Song's National Provider Identifier is 1063368744, issued on Mar 6, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 22, 2026.