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

Dr. Jin Song, DDS

Individual provider Dentist · NPI 1023456753

Dr. Jin Song, DDS is a Dentist in Kennewick, Washington. Licensed in Texas and Washington. Registered with an NPI since 2013.

Licensed in
TX, WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2611 S Quillan Pl Ste 110
Kennewick, WA 99338-1899
Phone: (509) 585-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE61516940 (WA)
Dentist Taxonomy 122300000X · Licence 29005 (TX)
Public Health Dentistry Taxonomy 1223D0001X · Licence DE61516940 (WA)

Record details

NPI number1023456753
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 4, 2013
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address2611 S Quillan Pl Ste 110, Kennewick, WA 99338-1899

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