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

Tae Ho Kong, DDS

Individual provider Dentist · NPI 1518752435

Tae Ho Kong, DDS is a Dentist in Sullivan, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2025.

Licensed in
IL, MO
In the registry since
2025
Specialties on file
2
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

101 Progress Pkwy
Sullivan, MO 63080-2359
Phone: (844) 853-8937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2024047593 (MO)
Dentist Taxonomy 122300000X · Licence 019034531 (IL)

Record details

NPI number1518752435
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address1800 Community, Clinton, MO 64735-8804

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