P Praxis·MD
● Active Type 1 · Individual

DR. Kevin Shum Fung, DMD

Dentist·Lackland Afb, TX· NPI 1053014704 · Enumerated 2023 · 3 years on NPI
Shum Fung is 1 of 9 dentist providers in Lackland Afb and 1 of 9237 in Texas.
NPI age
3 years
Enumerated 2023-03-22
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
3 years
↓ 9 yr below median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
59 Dg- Af Postgraduate Dental School, 2133 Klinker Street, Building 3352
Lackland Afb, TX 782365313
📞 9173408205
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #39903 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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