Individual
DR. MATTHEW SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2854 N MAIN ST STE 102, CROSSVILLE, TN 38555-5413
(931) 456-1138
Mailing address
5629 HILLVIEW DR, BRENTWOOD, TN 37027-4205
(615) 569-1919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12631
TN
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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