IndividualActive
Isse Song
NPI 1003238650 · General Practice Dentistry · Orlando, FL
Isse Song is a General Practice Dentistry provider in Orlando, FL (NPI 1003238650).
Provider details
- NPI number
- 1003238650
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN11703 (FL)
Practice location
12554 S John Young Pkwy
Suite104
Orlando, FL 32837-4004
Phone: (407) 888-1088
Fax: (407) 888-1089
Street-level locationGet directions
Mailing address
12554 S John Young Pkwy
Orlando, FL 32837-4004
Registry dates
- Enumerated
- 2014-01-16
- Last updated
- 2014-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.