Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sejin Shane Song, DDS

Individual provider General Practice Dentistry · NPI 1740511310

Dr. Sejin Shane Song, DDS is a General Practice Dentistry in Paynesville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

107 Washburne Ave
Paynesville, MN 56362-1640
Phone: (320) 243-2175
Fax: (320) 243-8158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D13182 (MN)

Record details

NPI number1740511310
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 21, 2010
Last updated in NPPESSeptember 7, 2016

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