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DR. KEVIN SHUM FUNG DMD
NPI 1053014704
Dentist in Lackland Afb, TX

Active since March 22, 2023
59 DG- AF POSTGRADUATE DENTAL SCHOOL, 2133 KLINKER STREET, BUILDING 3352, LACKLAND AFB, TX 78236(917) 340-8205 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, Aug 23, 2023, Aug 14, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Kevin Shum Fung Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN SHUM FUNG DMD (NPI 1053014704) is an individual dentist in Lackland Afb, Texas, licensed in Texas (39903) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1053014704
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN SHUM FUNGCredential: DMD
Location Address59 DG- AF POSTGRADUATE DENTAL SCHOOL, 2133 KLINKER STREET, BUILDING 3352Lackland Afb, TX 78236-5313
Mailing Address1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638
Phone(917) 340-8205
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 5, 20244 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1053014704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 39903
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

59 DG- AF POSTGRADUATE DENTAL SCHOOL, Lackland Afb, TX 78236
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Shum Fung's NPI number?

The NPI number for Kevin Shum Fung is 1053014704. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Kevin Shum Fung located?

Kevin Shum Fung practices at 59 Dg- Af Postgraduate Dental School 2133 Klinker Street, Building 3352, Lackland Afb, TX 78236. The listed phone number is (917) 340-8205.

What is Kevin Shum Fung's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kevin Shum Fung was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.