Whalio Doctors

NPI 1164599569

Liansheng Song, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Farmington, CT

Practice location

Address
263 Farmington Ave Division of Oms L-7073, Mc1720, Farmington, CT 06030-1720
Phone
(860) 679-2583
Fax
(860) 679-1702

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 010234 (CT)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 010234 (CT)

Registry record

NPI
1164599569
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Nov 2006
Record last updated
7 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.