HENRY K PONG, DDS, PSC
NPI 1174620769
Dentist in Lake Station, IN

Q: What is Henry K Pong, Dds, Psc's NPI number?

The NPI number for Henry K Pong, Dds, Psc is 1174620769. It was assigned to this organization in the NPPES registry on September 17, 2006.

Q: What is Henry K Pong, Dds, Psc's specialty?

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

Active since September 17, 2006

3820 CENTRAL AVE, LAKE STATION, IN 46405(219) 962-8666 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Henry K Pong, Dds, Psc NPPES

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

HENRY K PONG, DDS, PSC (NPI 1174620769) is a healthcare organization registered as a dentist in Lake Station, Indiana and active in the NPI registry since September 2006. The organization lists Henry K Pong, President, as its authorized official.

NPPES Registry Identity

NPI1174620769

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameHENRY K PONG, DDS, PSC

Location Address3820 CENTRAL AVELake Station, IN 46405-2324

Mailing Address3820 Central AveLake Station, IN 46405-2324 · (219) 962-8666

Phone(219) 962-8666

Organization SubpartNo

Authorized OfficialHenry K PongPresident · (219) 962-8666

Enumeration DateSeptember 17, 2006

Last NPPES UpdateFebruary 19, 2013

✔ NPI 1174620769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 54000645

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.

3820 CENTRAL AVE, Lake Station, IN 46405

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Other Identifiers 1

Medicaid100167920AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Henry K Pong, Dds, Psc's NPI number?

The NPI number for Henry K Pong, Dds, Psc is 1174620769. It was assigned to this organization in the NPPES registry on September 17, 2006.

Where is Henry K Pong, Dds, Psc located?

Henry K Pong, Dds, Psc is located at 3820 Central Ave, Lake Station, IN 46405. The listed phone number is (219) 962-8666.

What is Henry K Pong, Dds, Psc'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 Henry K Pong, Dds, Psc was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.