Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255711693 Individual Practitioner Male Practitioner

Dr. Tae Ho Kang , DMD

Dentist • Mount Pleasant, WI

Professional Overview & Biography Verified Profile Summary

Dr. Tae Ho Kang, DMD is a registered healthcare professional specializing in Dentist in Mount Pleasant, WI. Practice services are available at 5201 WASHINGTON AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5201 Washington Ave Ste A

Mount Pleasant, WI 534064242

Telephone 8889884066
Associated Practice Facility / Clinic
🏢 Familia Dental Peoria 3 Llc Facility NPI 1386964526

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mount Pleasant, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Mount Pleasant, WI (1850 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 WI 1001434

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 31576

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003331984
Dr. Shuo Yan , DDS

Dentist - General Practice

NPI 1013434836

Doctor of Dental Surgery

Jae Ung Jung

Dentist - General Practice

NPI 1023648664
NPI 1033593587

Doctor of Dental Surgery

Oluwatosin Ayo-Okuwobi

Dentist - General Practice

NPI 1033872957
Dr. Jimmy Lau , DDS

Dentist - General Practice

NPI 1043696677

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2016

Registered at 5201 WASHINGTON AVE STE A, MOUNT PLEASANT, WI 534064242 (Tel: 8889884066)

📍
Updated Business Mailing Address November 23, 2016

Registered at 2050 E ALGONQUIN RD, SUITE 610, SCHAUMBURG, IL 601734144 (Tel: 8889884066)

👤
Provider Name / Credentials Updated November 23, 2016

Recorded as TAE HO KANG, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2016

Dentist (License #1001434 in WI)

🟢
Initial NPI Registration & Enumeration June 01, 2015

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: 1255711693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2015
Last Update: November 23, 2016
Sole Proprietor: No

Mailing Address

2050 E Algonquin Rd, Suite 610

Schaumburg, IL 601734144

Phone: 8889884066

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.