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

Jonathan Song, DDS

Individual provider General Practice Dentistry · NPI 1659757375

Jonathan Song, DDS is a General Practice Dentistry in Anaheim, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1134 N State College Blvd Ste C
Anaheim, CA 92806
Phone: (714) 772-2698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3530 W Century Blvd Ste 107, Inglewood, CA 90303-1234 — (262) 719-6842

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 64849 (CA)

Record details

NPI number1659757375
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESSeptember 11, 2018
Mailing address936 S Olive St Apt 734, Los Angeles, CA 90015-3679

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