MEDICARE: YOUNGJIN KANG DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN22858	FL
2	1223G0001X	General Practice Dentistry	39384	TX

General Provider Information

NPI Number	:	1538680053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUNGJIN KANG DMD

Provider Business Mailing Address
First Line	:	1629 PAVIN LN
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 N INTERSTATE 35
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-5152
Country	:	US
Telephone Number	:	940-270-7210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2017
Last Update Date	:	06/01/2026

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Directions to “ YOUNGJIN KANG DMD” Practice Location

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