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

Dr. Samuel Song, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1487117529

Dr. Samuel Song, DMD is an Oral Surgery in Daytona Beach, Florida. Graduated from Tufts University School of Dental Medicine in 2019, 7 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Tufts University School of Dental Medicine
Licensed in
FL
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

549 Health Blvd
Daytona Beach, FL 32114-1493
Phone: (386) 252-6438
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN24730 (FL)

Record details

NPI number1487117529
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 6, 2019
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 2019 (7 years in practice)
Group practice Halifax Healthcare Systems Inc — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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