Taeheon Kang, D.D.S., M.S.

Periodontics · Davie, FL

Individual Active NPI

NPI number 1356578025

Practice location

3437 Lakeside Dr
Davie, FL 33328-1935
Phone
(954) 536-1111

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NPI record

NPI
1356578025
Entity type
Individual (Type 1)
Enumeration date
June 19, 2009
Last updated
July 4, 2020
Certified
July 4, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 0401413327 VA
Periodontics 1223P0300X DN18250 FL

Other practice locations (1)

  • 11130 Fairfax Blvd Ste 100, Fairfax, VA 22030-5035 · (703) 865-5911

About Dr. Kang

Taeheon Kang, D.D.S., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 3437 Lakeside Dr, Davie, FL 33328-1935. The NPI number 1356578025 was assigned on June 19, 2009 and the record was last updated on July 4, 2020.

Dr. Kang lists 2 licenses in the registry: #0401413327 (VA) for Periodontics; #DN18250 (FL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Taeheon Kang, D.D.S., M.S.?

The NPI number is 1356578025.

What is the phone number of Dr. Kang?

The phone number listed for the practice location is (954) 536-1111.

Where is Dr. Kang located?

3437 Lakeside Dr, Davie, FL 33328-1935.

What is the taxonomy code for Dr. Kang?

The primary taxonomy code is 1223P0300X – Periodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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