Active NPI 1164569935 Individual Practitioner Male Practitioner

Dr. Roy Song , DMD

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Roy Song, DMD is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 1820 N 75TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1820 N 75th Ave
Suite 112

Phoenix, AZ 85035

Telephone 6233342224

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.2 Yrs

State Avg: 16.4 Yrs

Regional Practice Density

483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 6192

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Sugandha Mohan

Dentist

NPI 1336520980

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1820 N 75TH AVE, SUITE 112, PHOENIX, AZ 85035 (Tel: 6233342224)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2417 W BENT TREE DR, PHOENIX, AZ 850854738 (Tel: 6233406518)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROY SONG, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6192 in AZ)

🟢

Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1164569935

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 31, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2417 W Bent Tree Dr

Phoenix, AZ 850854738

Phone: 6233406518

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.