Search › Louisiana › 1223G0001X

Tony Song, DMD

NPI 1053149617 · on the registry since 2024

Practice

Address
7223 Mississippi Ave
Fort Polk, LA 71459
Phone
(726) 780-2175
Clinicians at this address
24

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana