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DR. KEVIN TRONG PHUNG DDS
NPI 1730794066
Dentist - General Practice in Winston Salem, NC

Active since September 14, 2020
4550 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 542-2184 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin Trong Phung Dds NPPES

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

DR. KEVIN TRONG PHUNG DDS (NPI 1730794066) is an individual general practice provider in Winston Salem, North Carolina, licensed in North Carolina (11999) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1730794066
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN TRONG PHUNGCredential: DDS
Location Address4550 COUNTRY CLUB RDWinston Salem, NC 27104-3518
Mailing Address4755 Country Club Rd Apt 101kWinston Salem, NC 27104-3511 · (337) 281-5824
Phone(336) 542-2184
Sole ProprietorNo
Enumeration DateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1730794066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 11999
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4550 COUNTRY CLUB RD, Winston Salem, NC 27104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 3

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

HYUNG WON LEE
Dentist
4550 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 281-0927
GODEL & ASSOCIATES PLLC
Dentist (General Practice)
4550 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 738-0111
A W KELLY DDS PLLC
Dentist (General Practice)
4550 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (333) 766-7966

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 Phung's NPI number?

The NPI number for Kevin Phung is 1730794066. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Kevin Phung located?

Kevin Phung practices at 4550 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 542-2184.

What is Kevin Phung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kevin Phung accept?

Health plans from Humana list Kevin Phung 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 Kevin Phung was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.