DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAE HO KONG, DDS

Active

TAE HO KONG, DDS is a Dentist healthcare provider located in SULLIVAN, Missouri. NPI 1518752435 is currently active in the NPPES registry. Verify at CMS.

Dentist · SULLIVAN, MO

Registration Details

NPI Number
1518752435
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2025 (1.1967064045706 yrs)
Last Updated
Apr 11, 2025
Licenses
019034531 (IL)
2024047593 (MO)

Practice Information

Address
101 PROGRESS PKWY
SULLIVAN, MO, 630802359
Browse MO providers · Browse ZIP 63080
Phone
8448538937
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in SULLIVAN, MO

Name Credential NPI
CRAIG HARRIS DDS 1659382778
DR. JOHN HAMBLIN DMD 1588706931
DR. MARK ALAN SCANTLAN D.D.S. 1457575094
DR. AARON CHAUNCEY ROWBOTTOM D.D.S. 1619194909
DR. NATHAN CLARK WILCOXSON DDS 1881263226
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.