Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629572276 Individual Practitioner Male Practitioner

Daeyong J. Kang

Dentist • Dyess Afb, TX

Professional Overview & Biography Verified Profile Summary

Daeyong Kang is a registered healthcare professional specializing in Dentist in Dyess Afb, TX. Practice services are available at 697 LOUISIANNA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

697 Louisianna Dr

Dyess Afb, TX 796071367

Telephone 3256964262

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Dyess Afb, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Dyess Afb, TX (6851 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

CMS Verified: 2021-05-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 33057

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

3 Associated Practitioners
Gwendolynne Noonan , LCSW

Social Worker - Clinical

NPI 1346987823

Licensed Clinical Social Worker

NPI 1447545074

Doctor of Medicine (M.D.)

Darren Damiani , FNP-C

Nurse Practitioner - Family

NPI 1740525161

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 21, 2021

Registered at 697 LOUISIANNA DR, DYESS AFB, TX 796071367 (Tel: 3256964262)

📍
Updated Business Mailing Address May 21, 2021

Registered at 697 LOUISIANNA DR, DYESS AFB, TX 796071367

📍
Updated Business Mailing Address March 02, 2020

Registered at 1090 ARNOLD DR, LITTLE ROCK AFB, AR 720994933 (Tel: 5019877304)

📍
Updated Practice Location May 29, 2019

Registered at 1090 ARNOLD DR # 1090, JACKSONVILLE, AR 720994933 (Tel: 7572252712)

NPI Profile Active March 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2018

Registered at 633RD MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 236652040 (Tel: 7572257630)

📍
Updated Business Mailing Address March 20, 2018

Registered at 633RD MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 236652040 (Tel: 7572257630)

👤
Provider Name / Credentials Updated March 20, 2018

Recorded as DAEYONG KANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Dentist (License #33057 in TX)

🟢
Initial NPI Registration & Enumeration March 20, 2018

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: 1629572276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2018
Last Update: May 21, 2021
Sole Proprietor: No

Mailing Address

697 Louisianna Dr

Dyess Afb, TX 796071367

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.