Doctor profile · Federal record

Dr. Jae Yun Song, DMD

Dentist · Ft Gordon, GA

  • NPI 1053381848
  • 20 yrs on file
  • Male
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
Bldg 38717 38Th Street, USA Dentac
Ft Gordon, GA 309055660
(706) 787-6927
fax (706) 787-2082

Credentials & registration

NPPES · NUCC
NPI registered
January 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
122300000X — NUCC code
State license (1)
Massachusetts #20293

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053381848. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Voco America INC. 1 $14.81

By nature of payment

Food and Beverage
$15

Frequently asked questions

Auto-generated from federal data
What is Dr. Jae Yun Song's medical specialty?
Dr. Jae Yun Song practices Dentist in Ft Gordon, GA.
Where does Dr. Jae Yun Song practice?
Dr. Jae Yun Song practices at Bldg 38717 38Th Street, Ft Gordon, GA 309055660. Office phone: 7067876927.
What is Dr. Jae Yun Song's NPI?
Dr. Jae Yun Song's National Provider Identifier (NPI) is 1053381848, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 20, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›