IndividualActive
Kevin Song
NPI 1154173938 · General Practice Dentistry · Springfield, MA
Kevin Song is a General Practice Dentistry provider in Springfield, MA (NPI 1154173938).
Provider details
- NPI number
- 1154173938
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN10000733 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1795 Main St Ste 116
Springfield, MA 01103-1078
Phone: (419) 439-0563
Street-level locationGet directions
Mailing address
47 Oak St Unit B
Windsor Locks, CT 06096-1822
Registry dates
- Enumerated
- 2024-04-04
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is Kevin Song's NPI number?
- Kevin Song's National Provider Identifier (NPI) is 1154173938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Song's specialty?
- Kevin Song is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kevin Song located?
- Kevin Song's practice location on file with NPPES is 1795 Main St Ste 116, Springfield, MA 01103-1078.
- What is Kevin Song's phone number?
- The practice phone number listed in the NPPES registry for Kevin Song is (419) 439-0563.
- Is Kevin Song's NPI active?
- Yes — Kevin Song's NPI (1154173938) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.