Individual provider · Type 1 NPI

Ethan Kwangwon Kong, DDS

Pediatric Dentistry · Durham, NC

NPI number 1669080958 Active

Practice location

3020 S Miami Blvd Ste B
Durham, NC 27703-0965

Fax (919) 294-9628

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X14757 (NC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1669080958

Ethan Kwangwon Kong, DDS's National Provider Identifier is 1669080958, issued on Jul 22, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Durham, NC. The record was last updated on Jun 5, 2026.