Kevin Song

NPI 1154173938 · on the registry since 2024

Practice

Address: 1795 Main St Ste 116
Springfield, MA 01103
Phone: (419) 439-0563
Organisation at this address: Baystate Dental Pc
Advance Dental, Pc
Edwardc Larkin Dmd
Bright Debtal Care Pc
Caban Orthodontics, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-12

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 Massachusetts