DR. YOUNG SUK KANG DDS NPI 1215912134

NPI Information

  • NPI: 1215912134
  • Provider Name: DR. YOUNG SUK KANG, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: USA DENTAC
    B 2817 REILLY ROAD
    FORT BRAGG, NC
    ZIP 28310
  • Phone: (706) 787-6927

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NPI Details

DR. Young Suk Kang, DDS is a prosthodontics dentist in Fort Bragg, NC. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Young Suk Kang, DDS NPI is 1215912134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

USA DENTAC
B 2817 REILLY ROAD
FORT BRAGG, NC
ZIP 28310-001
Phone: (706) 787-6927
Fax: (706) 787-2082

The NPI 1215912134 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/13/2005 and was last updated on 6/18/2014.

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
1122300000XDentist050394NEW YORKNo
2122300000XDentistDN012894GEORGIANo
31223P0700XDentistProsthodontics050394-1NEW YORKYes

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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