| Tae Ho Kong, DDS | |
|
101 Progress Pkwy, Sullivan, MO 63080-2359 | |
| (844) 853-8937 | |
| Not Available |
| Full Name | Tae Ho Kong |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 101 Progress Pkwy, Sullivan, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518752435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019034531 (Illinois) | Secondary |
| 122300000X | Dentist | 2024047593 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tae Ho Kong, DDS 1800 Community, Clinton, MO 64735-8804 Ph: () - | Tae Ho Kong, DDS 101 Progress Pkwy, Sullivan, MO 63080-2359 Ph: (844) 853-8937 |
Dr. James Ray Cuneio, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 Hughes Ford Rd, Sullivan, MO 63080 Phone: 573-468-3512 | |
Dr. Raysham Hayat, DDS Dentist Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 844-853-8937 | |
Dr. Christopher Allen Parks, DDS Dentist Medicare: Medicare Enrolled Practice Location: 400 Cumberland Way, Suite A, Sullivan, MO 63080 Phone: 573-468-7556 Fax: 573-468-7530 | |
Dr. Mark Alan Scantlan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 675 Dunsford Dr, Sullivan, MO 63080 Phone: 573-468-2774 Fax: 573-468-2008 | |
Dr. John Hamblin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 413 Walmart Dr, Sullivan, MO 63080 Phone: 573-468-3289 Fax: 573-468-3303 | |
Dr. Aaron Chauncey Rowbottom, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 675 Dunsford Dr, Sullivan, MO 63080 Phone: 573-468-2774 Fax: 573-468-2008 |