Individual provider · Type 1 NPI

Myoungsu Song

General Practice Dentistry · Champaign, IL

NPI number 1154932218 Active

Practice location

819 Bloomington Rd
Champaign, IL 61820-2101

Call (217) 356-1558 Map

Mailing address

2050 E Algonquin Rd Ste 610
Schaumburg, IL 60173-4166

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019032794 (IL)

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 1154932218

Myoungsu Song's National Provider Identifier is 1154932218, issued on Aug 12, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Champaign, IL. The record was last updated on Jan 24, 2023.