Individual provider · Type 1 NPI

Song B. Rhim, DMD

Periodontics · Jbsa Lackland, TX

NPI number 1336369750 Active

Practice location

2133 Pepperrell St
Jbsa Lackland, TX 78236-5313

Other practice locations

  • 151 Bodin Cir, Travis Afb, CA 94535-1801 · (707) 423-7055
  • 374th Medical Group, Yokota Air Base, Apo, AP 96326 · (315) 225-9700

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X62275 (CA)
Periodontics 1223P0300X13473 (MD)
Periodontics 1223P0300XDDS62275 (CA)
Periodontics Primary 1223P0300XD1034 (GU)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

16 other providers at this address

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About NPI 1336369750

Song B. Rhim, DMD's National Provider Identifier is 1336369750, issued on Apr 26, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jan 5, 2021.