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

Dr. Song B Rhim, DMD

Individual provider Periodontics · NPI 1336369750

Dr. Song B Rhim, DMD is a Periodontics in Jbsa Lackland, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in California, Guam and Maryland.

Licensed in
CA, GU, MD
In the registry since
2007
Specialties on file
4
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

2133 Pepperrell St
Jbsa Lackland, TX 78236-5313
Phone: (210) 292-2558
Show map & directions

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

Additional practice locations (2)

  • 374th Medical Group, Apo, AP 96326 — (315) 225-9700
  • 151 Bodin Cir, Travis Afb, CA 94535-1801 — (707) 423-7055

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D1034 (GU)
Periodontics Taxonomy 1223P0300X · Licence 62275 (CA)
Periodontics Taxonomy 1223P0300X · Licence 13473 (MD)
Periodontics Taxonomy 1223P0300X · Licence DDS62275 (CA)

Record details

NPI number1336369750
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021

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