Individual provider · Type 1 NPI

Jaemin Song

General Practice Dentistry · New York, NY

NPI number 1497376560 Active

Practice location

145 Canal St Fl 2
New York, NY 10002-5033

Call (917) 388-3678 Map

Mailing address

2935 John F Kennedy Blvd Apt 610
Jersey City, NJ 07306-3881

Other practice locations

  • 330 Martin Luther King Blvd, Boston, MA 02119-1868 · (617) 427-4242
  • 1775 Grand Concourse Fl 6, Bronxcare Health Systems, Dept Of Dentistry, Bronx, NY 10453-8202 · (718) 901-8410

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X062257 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry 1223G0001XDN1858981 (MA)

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.

Another provider at this address

Other general practice dentistry providers in New York

See all in New York →

About NPI 1497376560

Jaemin Song's National Provider Identifier is 1497376560, issued on Apr 30, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New York, NY. The record was last updated on Sep 6, 2023.