IndividualActive
Alicia Song, DMD
NPI 1013753862 · Dentist · Parris Island, SC
Provider details
- NPI number
- 1013753862
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DS044735 (PA)
Specialties & taxonomies
Dental Providers
Practice location
674 Boulevard De France
Parris Island, SC 29905
Phone: (484) 786-3776
Approximate (ZIP-level) locationGet directions
Mailing address
1718 Osprey Dr
Audubon, PA 19403-1863
Registry dates
- Enumerated
- 2024-07-02
- Last updated
- 2024-07-02
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.