Individual
DR. TIFFANY KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
191 W GORDON PIKE, BLOOMINGTON, IN 47403-4518
(812) 824-4444
(812) 473-7703
Mailing address
191 W GORDON PIKE, BLOOMINGTON, IN 47403-4518
(812) 824-4444
(812) 473-7703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014492A
IN
Other
Enumeration date
03/22/2024
Last updated
02/05/2026
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