Kong Peng Lor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811686579

Kong Peng Lor is a Dentist in Bakersville, North Carolina. Graduated from East Carolina University School of Dentistry in 2025, 1 year ago. Licensed in North Carolina.

Years since qualifying: 1
Trained at: East Carolina University School of Dentistry
Licensed in: NC
In the registry since: 2023
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Bakersville, NC

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Dentistry (primary)	Taxonomy 1223G0001X · Licence 14276 (NC)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1811686579
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	May 8, 2023
Last updated in NPPES	July 9, 2025
Certification date	June 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	DENTIST
Medical school	EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY
Graduated	2025 (1 years in practice)
Accepts Medicare assignment	Not indicated
Practice locations	2 on file with Medicare