Whalio Doctors

NPI 1013577063

Jack Kang, DDS

Practitioner Dentist Goodlettsville, TN

Practice location

Address
919 Conference Dr STE 5, Goodlettsville, TN 37072-1924
Phone
(615) 855-0087
Mailing address
7965 Country Lake Dr, Bartlett, TN 38133-2770

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 11046 (TN)

Registry record

NPI
1013577063
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jun 2019
Record last updated
20 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.