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

Dr. Roy Song, DMD

Individual provider General Practice Dentistry · NPI 1164569935

Dr. Roy Song, DMD is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
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

1820 N 75th Ave Ste 112
Phoenix, AZ 85035
Phone: (623) 334-2224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6192 (AZ)

Record details

NPI number1164569935
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2417 W Bent Tree Dr, Phoenix, AZ 85085-4738

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