OrganizationActive
Minsun James Song, DDS, PLLC.
NPI 1801762208 · Dental Clinic/Center · Spanaway, WA
Provider details
- NPI number
- 1801762208
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Minsun Song, Owner(253) 993-6376
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
119 191st Street Ct E
Spanaway, WA 98387-4604
Phone: (253) 993-6376
Approximate (ZIP-level) locationGet directions
Mailing address
119 191st Street Ct E
Spanaway, WA 98387-4604
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.