Kong Peng Lor
Kong Peng Lor is a Dentist in Bakersville, North Carolina. Graduated from East Carolina University School of Dentistry in 2025, 1 year ago. Licensed in North Carolina.
- Years since qualifying
- 1
- Trained at
- East Carolina University School of Dentistry
- Licensed in
- NC
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
89 N Mitchell AveBakersville, NC 28705-6502
Phone: (828) 537-5991
Fax: (732) 393-8492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 14276 (NC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1811686579 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 8, 2023 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | June 11, 2025 |
| Mailing address | 86 N Mitchell Ave, Bakersville, NC 28705-6502 |
Medicare enrollment
| Medicare specialty | DENTIST |
|---|---|
| Medical school | EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |