Tae Gon Song, DDS
NPI 1346591906ActiveIndividual· Dentist, General Practice· Mesquite, TX
Dentist, General Practice (DDS) in Mesquite, Texas, licensed in TX, with an NPI issued in September 2012. Ultradent Products Inc reported $223.46 in payments in 2024, mostly gifts.
Overview
| NPI | 1346591906 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Sep 24, 2012 |
| Last updated in NPPES | Sep 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 28295 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$223.46 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $223.46 | 2 |
What the 2024 payments were for
- Gift$223.46 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 95 general dentists in Mesquite · All general dentists in Texas