Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124017785 Deactivated / Inactive NPI Male Practitioner

Dr. Kou B Vang , DDS

Dentist • Saint Paul, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kou Vang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2005
NPI Deactivation Date June 18, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Kou Vang, DDS was a registered Dentist practicing in Saint Paul, MN. Throughout an active medical career spanning 21 years, Dr. Vang provided care at the practice location at 225 UNIVERSITY AVE W until profile deactivation on 2026-06-18.

Practice Location & Contact Primary Location

Practice Address

225 University Ave W
Suite 124

Saint Paul, MN 551032072

Telephone 6512226738
Fax 6518480808
Associated Practice Facility / Clinic
🏢 Minnesota Pain Center Facility NPI 1255300984

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
133 Specialists

Practicing in Saint Paul, MN (1863 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 MS D11210

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1124274642

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 18, 2026

Record deactivated on June 18, 2026

NPI Profile Active December 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 15, 2015

Registered at 225 UNIVERSITY AVE W, SUITE 124, SAINT PAUL, MN 551032072 (Tel: 6512226738)

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Updated Business Mailing Address December 15, 2015

Registered at 225 UNIVERSITY AVE W, SUITE 124, SAINT PAUL, MN 551032072 (Tel: 6512226738)

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Provider Name / Credentials Updated December 15, 2015

Recorded as KOU VANG, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2015

Dentist (License #D11210 in MS)

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Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124017785
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2005
Last Update: December 15, 2015
Deactivation Date: June 18, 2026

Mailing Address

225 University Ave W, Suite 124

Saint Paul, MN 551032072

Phone: 6512226738

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.