Provider Demographics
NPI:1922597913
Name:KANG, STEVE (MD, DMD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:KANG
Suffix:
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 LYKES LN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-0196
Mailing Address - Country:US
Mailing Address - Phone:321-370-5424
Mailing Address - Fax:
Practice Address - Street 1:32 SEVEN HILLS DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0212
Practice Address - Country:US
Practice Address - Phone:352-688-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN28909204E00000X
FLME166178207YS0123X
PADS042167122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No122300000XDental ProvidersDentist