Ethan Kwangwon Kong, DDS
Dentist, Pediatric Dentistry in Durham, NC. Individual provider (NPI-1).
NPI number1669080958
StatusActive
Last updated in NPPESJun 5, 2026
Details
- NPI
- 1669080958
- Entity type
- Individual (NPI-1)
- Name
- Ethan Kwangwon Kong
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2020
- Certification date
- Jun 5, 2026
- Last updated
- Jun 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 14757 | NC | Yes |
Practice location
3020 S Miami Blvd Ste BDurham, NC 27703-0965
Phone 919-246-3350 · Fax 919-294-9628
Mailing address
3020 S Miami Blvd Ste BDurham, NC 27703-0965
Phone 919-246-3350 · Fax 919-294-9628
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All 16 Pediatric Dentistry providers in Durham · All 16,553 providers in Durham
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