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

Moon J Song, DDS

Individual provider General Practice Dentistry · NPI 1548479777

Moon J Song, DDS is a General Practice Dentistry in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

2242 Camden Ave Ste 101
San Jose, CA 95124-2029
Phone: (408) 718-5837
Fax: (408) 366-0602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 42002 (CA)

Record details

NPI number1548479777
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESApril 10, 2014

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