Dr. Jennifer Kong
Pediatric Dentist
11525 S Fry Rd Ste A
Fulshear
, Texas 77441-2156
Dr. Jennifer Kong
Pediatric Dentist
11525 S Fry Rd Ste A
Fulshear
, Texas 77441-2156
(832) 913-6353
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Kong
- 11525 S Fry Rd Ste A
- Fulshear, TX
- Zip : 77441-2156
- Phone : (832) 913-6353
Second Address
- Dr. Jennifer Kong
- 11525 S Fry Rd Ste A
- Fulshear, TX
- Zip : 77441-2156
- Phone : (832) 913-6353
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 24723 | TX |
National Provider Identifier
| NPI | 1003043688 |
|---|---|
| Provider Name | Dr. Jennifer Kong |
| First Address | Fulshear, TX 77441-2156 |
| Second Address | Fulshear, TX 77441-2156 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2009 |
| Last Update Date | 17/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.