Individual provider · Type 1 NPI
Samuel Myeongsup Song, DDS
General Practice Dentistry · Los Angeles, CA
NPI number
1073432373
Active
Practice location
2500 W 8th St Ste 106
Los Angeles, CA 90057-3860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 113444 (CA) |
General Practice Dentistry: 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.
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About NPI 1073432373
Samuel Myeongsup Song, DDS's National Provider Identifier is 1073432373, issued on Jul 13, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 13, 2026.