DR. YAN MING GONG DDS
NPI 1073269387
Dentist in Fayetteville, AR

Active since February 24, 2022
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Yan Ming Gong Dds NPPES

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

DR. YAN MING GONG DDS (NPI 1073269387) is an individual dentist in Fayetteville, Arkansas, licensed in Arkansas (4558) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1073269387
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. YAN MING GONGCredential: DDS
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing Address1010 S Ballpark Dr Apt 103Fayetteville, AR 72701-0024
Sole ProprietorNo
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
NPI 1073269387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AR · 4558
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.

1100 N COLLEGE AVE, Fayetteville, AR 72703

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703

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 Yan Ming Gong's NPI number?

The NPI number for Yan Ming Gong is 1073269387. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Where is Yan Ming Gong located?

Yan Ming Gong practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Yan Ming Gong'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 Yan Ming Gong was last updated on February 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.