Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tae Ho Kang, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255711693

Dr. Tae Ho Kang, DMD is a Student in an Organized Health Care Education/Training Program in Mount Pleasant, Wisconsin. Licensed in Texas and Wisconsin. Registered with an NPI since 2015.

Licensed in
TX, WI
In the registry since
2015
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5201 Washington Ave Ste A
Mount Pleasant, WI 53406-4242
Phone: (888) 988-4066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1001434 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 31576 (TX)

Record details

NPI number1255711693
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 1, 2015
Last updated in NPPESNovember 23, 2016

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