Individual provider · Type 1 NPI

Hae Min Song

Pediatric Dentistry · Aurora, CO

NPI number 1699667428 Active

Practice location

860 Potomac Cir
Aurora, CO 80011-6714

Mailing address

8355 E 32nd Ave Apt 281
Denver, CO 80238-4432

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X00205990 (CO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1699667428

Hae Min Song's National Provider Identifier is 1699667428, issued on Jul 16, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Aurora, CO. The record was last updated on Jul 16, 2025.