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DR. TAEHEON KANG D.D.S., M.S.
NPI 1356578025
Dentist - Periodontics in Davie, FL

Active since June 19, 2009
3437 LAKESIDE DR, DAVIE, FL 33328(954) 536-1111 Get Directions Write a Review

NPPES record last updated: July 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Taeheon Kang D.d.s., M.s. NPPES

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

DR. TAEHEON KANG D.D.S., M.S. (NPI 1356578025) is an individual periodontics provider in Davie, Florida, licensed in Virginia (0401413327) and active in the NPI registry since June 2009. He maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1356578025
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TAEHEON KANGCredential: D.D.S., M.S.
Location Address3437 LAKESIDE DRDavie, FL 33328-1935
Mailing Address3437 Lakeside DrDavie, FL 33328-1935 · (954) 536-1111 · Fax (703) 865-5913
Phone(954) 536-1111
Sole ProprietorNo
Enumeration DateJune 19, 2009
Last NPPES UpdateJuly 4, 2020
NPPES CertifiedJuly 4, 2020
✔ NPI 1356578025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in VA · 0401413327✔ Licensed in FL · DN18250
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3437 LAKESIDE DR, Davie, FL 33328
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Secondary Practice Location 1

Location 111130 Fairfax Blvd Ste 100Fairfax, VA 22030-5035 · Phone (703) 865-5911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Taeheon Kang's NPI number?

The NPI number for Taeheon Kang is 1356578025. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Taeheon Kang located?

Taeheon Kang practices at 3437 Lakeside Dr, Davie, FL 33328. The listed phone number is (954) 536-1111.

What is Taeheon Kang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Taeheon Kang accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Taeheon Kang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taeheon Kang was last updated on July 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.