IndividualActive
Tae Ho Kong, DDS
NPI 1518752435 · Dentist · Sullivan, MO
Tae Ho Kong, DDS is a Dentist provider in Sullivan, MO (NPI 1518752435).
Provider details
- NPI number
- 1518752435
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019034531 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Progress Pkwy
Sullivan, MO 63080-2359
Phone: (844) 853-8937
Street-level locationGet directions
Mailing address
1800 Community
Clinton, MO 64735-8804
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Tae Ho Kong's NPI number?
- Tae Ho Kong's National Provider Identifier (NPI) is 1518752435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tae Ho Kong's specialty?
- Tae Ho Kong is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Tae Ho Kong located?
- Tae Ho Kong's practice location on file with NPPES is 101 Progress Pkwy, Sullivan, MO 63080-2359.
- What is Tae Ho Kong's phone number?
- The practice phone number listed in the NPPES registry for Tae Ho Kong is (844) 853-8937.
- Is Tae Ho Kong's NPI active?
- Yes — Tae Ho Kong's NPI (1518752435) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.