Ethan Kwangwon Kong
DDS | Pediatric Dentist
3020 S Miami Blvd Ste B, Durham
North Carolina, 27703-0965
919-246-3350 919-294-9628
Maps & DirectionsEthan Kwangwon Kong is a Durham, North Carolina based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan Kwangwon Kong is
14757 for Pediatric Dentistry in North Carolina. His current practice location is
3020 S Miami Blvd Ste B, Durham. Patients can reach him at
919-246-3350.
Ethan Kwangwon Kong provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Ethan Kwangwon Kong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ethan Kwangwon Kong |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3020 S Miami Blvd Ste B, Durham,
North Carolina, 27703-0965 |
| Phone: | 919-246-3350 |
| Fax: | 919-294-9628 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1669080958 |
| NPI Enumeration Date: | 22 Jul, 2020 |
| NPI Last Update On: | 05 Jun, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Kwangwon Kong are as mentioned below.
| License Number | Specialization | State | Status | |
| 14757 | Pediatric Dentistry | North Carolina | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3020 S Miami Blvd Ste B,
Durham, North Carolina |
| Zip: | 27703-0965 |
| Phone Number: | 919-246-3350 |
| Fax Number: | 919-294-9628 |
Patients can reach Ethan Kwangwon Kong at
3020 S Miami Blvd Ste B, Durham, North Carolina or can
call to book an appointment on 919-246-3350.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.