TAE HO KONG DDS
NPI 1518752435
Dentist in Sullivan, MO

Q: What is Tae Ho Kong's NPI number?

The NPI number for Tae Ho Kong is 1518752435. It was assigned to this individual provider in the NPPES registry on April 11, 2025. The provider is also known as Taeho Kong Dds.

Q: What is Tae Ho Kong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tae Ho Kong was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 11, 2025

101 PROGRESS PKWY, SULLIVAN, MO 63080(844) 853-8937 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tae Ho Kong Dds NPPES

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

TAE HO KONG DDS (NPI 1518752435) is an individual dentist in Sullivan, Missouri, licensed in Missouri (2024047593) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1518752435

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTAE HO KONGCredential: DDS

Location Address101 PROGRESS PKWYSullivan, MO 63080-2359

Mailing Address1800 CommunityClinton, MO 64735-8804

Phone(844) 853-8937

Sole ProprietorNo

Enumeration DateApril 11, 2025

NPPES CertifiedApril 11, 2025

✔ NPI 1518752435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MO · 2024047593✔ Licensed in IL · 019034531

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.

101 PROGRESS PKWY, Sullivan, MO 63080

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Other Names 1

Other Name (5)Taeho Kong Dds

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.Insurance ›

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.

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