Kong, Tae-Sok
Kong, Tae-Sok is an sole proprietor health care provider with primary practice located at 7600 W College Dr , Palos Heights IL 60463-1001. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is his primary health care specialty. Kong, Tae-Sok can be contacted via phone (708) 361-1770.Contact Information
Primary practice address
7600 W College Dr
Palos Heights IL 60463-1001
Phone: (708) 361-1770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 021.002274 | Illinois |
| Dental Providers / General Practice | 1223G0001X | 019.027600 | Illinois |
| Dental Providers / General Practice | 1223G0001X | 2005015642 | Missouri |
| Dental Providers / General Practice | 1223G0001X | 6602 | Nebraska |
Profile Details
| NPI number | 1144477902 |
|---|---|
| LBN Legal business name | Kong, Tae-Sok |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2008 |
| Last updated | Aug 24th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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