Individual provider · Type 1 NPI

Sonny Song

Orthodontics and Dentofacial Orthopedics Dentistry · Rochester, NY

NPI number 1386132223 Active

Practice location

625 Elmwood Ave # 683
Rochester, NY 14620-2913

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	0401417149 (VA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1386132223

Sonny Song's National Provider Identifier is 1386132223, issued on Apr 26, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rochester, NY. The record was last updated on Nov 12, 2020.