Kevin Song

NPI #1154173938 in Springfield, Massachusetts

Provider Information

NPI Number: 1154173938
Entity Type: Individual
Name: Kevin Song
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 4, 2024
Last Updated: Jun 12, 2025

Practice Location

Address: 1795 MAIN ST STE 116
City: Springfield
State: Massachusetts
ZIP Code: 01103-1078
Phone: (419) 439-0563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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