IndividualActive
Baizheng Song, D.M.D.
NPI 1164439345 · Oral and Maxillofacial Surgery (Dentist) · Brookline, MA
Provider details
- NPI number
- 1164439345
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18610 (MA)
Specialties & taxonomies
Dental Providers
Practice location
1842 Beacon St Ste 306
Brookline, MA 02445-1922
Phone: (617) 264-9966
Fax: (617) 730-8058
Approximate (ZIP-level) locationGet directions
Mailing address
1842 Beacon St Ste 306
Brookline, MA 02445-1922
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.