Healthcare Provider Details

I. General information

NPI: 1922597913
Provider Name (Legal Business Name): STEVE KANG MD, DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 SEVEN HILLS DR
SPRING HILL FL
34609-0212
US

IV. Provider business mailing address

4215 LYKES LN
LAND O LAKES FL
34638-0196
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-4556
  • Fax:
Mailing address:
  • Phone: 321-370-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberDN28909
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberME166178
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS042167
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: