Dr. Thomas C. Kang
Periodontist
2505 S 320th St Suite 330
Federal Way
, Washington 98003-5400
Dr. Thomas C. Kang
Periodontist
2505 S 320th St Suite 330
Federal Way
, Washington 98003-5400
(253) 874-0968
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Thomas C. Kang
- 2572 Union Ave Ne
- Renton, WA
- Zip : 98059-3501
- Fax : (253) 874-0968
- Phone : (425) 271-4120
Second Address
- Dr. Thomas C. Kang
- 2505 S 320th St Suite 330
- Federal Way, WA
- Zip : 98003-5400
- Fax : (523) 874-9068
- Phone : (206) 400-0800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | WA |
National Provider Identifier
| NPI | 1073697892 |
|---|---|
| Provider Name | Dr. Thomas C. Kang |
| First Address | Renton, WA 98059-3501 |
| Second Address | Federal Way, WA 98003-5400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BK9779274 | DEA # (01) | WA |
| DE00010542W | WA. STATE I.D. (01) | WA |
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.