Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114588217 Individual Practitioner Male Practitioner

Kong Xing Wang

Dentist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Kong Wang is a registered healthcare professional specializing in Dentist in Peoria, IL. Practice services are available at 320 EAST ARMSTRONG AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 East Armstrong Ave

Peoria, IL 61603

Telephone 3096552000
Associated Practice Facility / Clinic
🏢 Saint Francis Medical Center Facility NPI 1154370195

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Peoria, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019032213

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 3096552000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Deepak Nair , MD

Psychiatry & Neurology - Neurology

NPI 1003019209

Doctor of Medicine (M.D.)

NPI 1003556580

Doctor of Medicine (M.D.)

Dr. Thomas Blackwell , MD

Student in an Organized Health Care Education/Training Program

NPI 1003666421

Doctor of Medicine (M.D.)

Jacob Clark

Physician Assistant - Medical

NPI 1013614304
NPI 1013647965

Doctor of Osteopathic Medicine (D.O.)

Mark Morris , NP

Nurse Practitioner - Acute Care

NPI 1023237476

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2019

Registered at 320 EAST ARMSTRONG AVE, PEORIA, IL 61603 (Tel: 3096552000)

📍
Updated Business Mailing Address June 28, 2019

Registered at 320 E ARMSTRONG AVE, PEORIA, IL 616033172 (Tel: 3096552000)

👤
Provider Name / Credentials Updated June 28, 2019

Recorded as KONG WANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2019

Dentist (License #019032213 in IL)

🟢
Initial NPI Registration & Enumeration June 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kong Wang. Be the first to share your experience!

Sign in to leave a review for Kong Wang

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114588217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2019
Last Update: June 28, 2019
Sole Proprietor: Yes

Mailing Address

320 E Armstrong Ave

Peoria, IL 616033172

Phone: 3096552000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.