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

Dr. Tony Youngchang Song, DMD

Individual provider General Practice Dentistry · NPI 1053149617

Dr. Tony Youngchang Song, DMD is a General Practice Dentistry in Fort Polk, Louisiana. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
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

7223 Mississippi Ave
Fort Polk, LA 71459
Phone: (726) 780-2175
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14065149-9926 (UT)

Record details

NPI number1053149617
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Other providers in Fort Polk