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

Dr. Jonathan Song, DMD

Individual provider Dentist · NPI 1336595651

Dr. Jonathan Song, DMD is a Dentist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

115 W Seminary Dr Ste 101
Fort Worth, TX 76115-2635
Phone: (817) 405-0195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 31771 (TX)

Record details

NPI number1336595651
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016
Mailing address115 W Seminary Dr, Suite 101, Fort Worth, TX 76115-2635

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