Individual provider · Type 1 NPI

Edmund Song

General Practice Dentistry · Jackson Heights, NY

NPI number 1699593780 Active

Practice location

9203 Roosevelt Ave
Jackson Heights, NY 11372-7941

Call (516) 362-1001 Map

Mailing address

760 Broadway, Department Of Dentistry & Oms, Suite 2C-319
Brooklyn, NY 11206

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	065440 (NY)

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.

3 other providers at this address

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About NPI 1699593780

Edmund Song's National Provider Identifier is 1699593780, issued on Sep 28, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson Heights, NY. The record was last updated on Aug 19, 2026.