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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386132223

Dr. Sonny Song is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

625 Elmwood Ave # 683
Rochester, NY 14620-2913
Phone: (585) 275-8315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 0401417149 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386132223
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2018
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

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