Individual provider Active NPI

Tae Gyung Hwang, DDS, MS

  • Endodontics
  • Bluffton, SC
National Provider Identifier
1164046207
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
11526 Issued in SC
Practice address
25 Clark Summit Dr Ste 202
Bluffton, SC 29910-4213
Phone
(843) 837-8585
NPI assigned
Jun 4, 2020
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11360 SC
Endodontics 1223E0200X 11526 SC Primary
General Practice Dentistry 1223G0001X 30.026134 OH
Dentist 122300000X 2901601756 MI

Addresses

Primary practice location

25 Clark Summit Dr Ste 202
Bluffton, SC 29910-4213

Mailing address

25 Clark Summit Dr Ste 202
Bluffton, SC 29910-4213
Phone (843) 837-8585

Other names 1

  • Tae Hwang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901601756MIMDDentist
30.026134OHMDGeneral Practice Dentistry
11526SCMDProcedural Dermatology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1164046207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR STE 202",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104213",
            "telephone_number": "843-837-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR STE 202",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104213",
            "telephone_number": "843-837-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "TAE GYUNG",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "11360",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "11526",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026134",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAE",
            "last_name": "HWANG",
            "credential": "DDS, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.