KANG DENTISTRY PLLC NPI 1205405768

NPI Information

  • NPI: 1205405768
  • Provider Name: KANG DENTISTRY PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1015 S RAND RD
    LAKE ZURICH, IL
    ZIP 60047
  • Phone: (551) 795-0990

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NPI Details

KANG DENTISTRY PLLC is a dental clinic center in Lake Zurich, IL. KANG DENTISTRY PLLC NPI is 1205405768. The provider is registered as an organization entity type.

The provider's business location address is:

1015 S RAND RD
LAKE ZURICH, IL
ZIP 60047-911
Phone: (551) 795-0990

The provider's authorized official is Tae Ho Kang .
The authorized official title is Manager and has the following contact phone number (551) 795-0990.

The enumeration date for this NPI number is 6/20/2021 and was last updated on 6/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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