Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Kwangwon Kong, DDS

Individual provider Pediatric Dentistry · NPI 1669080958

Ethan Kwangwon Kong, DDS is a Pediatric Dentistry in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3020 S Miami Blvd Ste B
Durham, NC 27703-0965
Phone: (919) 246-3350
Fax: (919) 294-9628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 14757 (NC)

Record details

NPI number1669080958
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 22, 2020
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address3020 S Miami Blvd Ste B, Durham, NC 27703-0965

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