Mr. Tae Jeong Gong is a Henderson, Nevada based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Tae Jeong Gong is
8381 for General Practice Dentistry in Nevada. His current practice location is
366 W Lake Mead Pkwy Ste 100, Henderson. Patients can reach him at
702-464-3090.
Mr. Tae Jeong Gong is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Tae Jeong Gong 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: | Mr. Tae Jeong Gong |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 366 W Lake Mead Pkwy Ste 100, Henderson,
Nevada, 89015-7287 |
| Phone: | 702-464-3090 |
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: | 1790463883 |
| NPI Enumeration Date: | 07 Jul, 2023 |
| NPI Last Update On: | 24 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 Mr. Tae Jeong Gong are as mentioned below.
| License Number | Specialization | State | Status | |
| 8381 | General Practice Dentistry | Nevada | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 366 W Lake Mead Pkwy Ste 100,
Henderson, Nevada |
| Zip: | 89015-7287 |
Patients can reach Mr. Tae Jeong Gong at
366 W Lake Mead Pkwy Ste 100, Henderson, Nevada or can
call to book an appointment on 702-464-3090.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.