Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Song

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063368744

Alice Song is a Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

2300 Ramsey St
Fayetteville, NC 28301-3856
Phone: (910) 488-2120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14708 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063368744
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 6, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

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