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Contact Information

TONY Y SONG, DMD
7223 MISSISSIPPI AVE
FORT POLK, LA71459
 Phone: 726-780-2175
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TONY Y SONG · (Male)

NPI # 1053149617
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/24/2024
Last updated 09/30/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 14065149-9926
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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