Individual provider · Type 1 NPI

Taeheon Kang, DDS, M.S.

Periodontics · Davie, FL

NPI number 1356578025 Active

Practice location

3437 Lakeside Dr
Davie, FL 33328-1935

Other practice locations

  • 11130 Fairfax Blvd Ste 100, Fairfax, VA 22030-5035 · (703) 865-5911

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300XDN18250 (FL)
Periodontics Primary 1223P0300X0401413327 (VA)

Periodontics: 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.

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About NPI 1356578025

Taeheon Kang, DDS, M.S.'s National Provider Identifier is 1356578025, issued on Jun 19, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Davie, FL. The record was last updated on Jul 4, 2020.