Provider Demographics
NPI:1972897312
Name:KANG, SINHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SINHA
Middle Name:
Last Name:KANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5034 DORSEY HALL DR
Mailing Address - Street 2:#203
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7719
Mailing Address - Country:US
Mailing Address - Phone:410-730-0043
Mailing Address - Fax:410-730-7468
Practice Address - Street 1:5034 DORSEY HALL DR
Practice Address - Street 2:#203
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7719
Practice Address - Country:US
Practice Address - Phone:410-730-0043
Practice Address - Fax:410-730-7468
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD128531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice