MEDICARE: ALEXANDER S. KUTUZA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	DS036580	PA
2	1223E0200X	Endodontics	9945	NC

General Provider Information

NPI Number	:	1861690034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER S. KUTUZA DMD

Provider Business Mailing Address
First Line	:	1320 4TH STREET DR NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2524
Country	:	US
Telephone Number	:	828-322-8710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 4TH STREET DR NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2524
Country	:	US
Telephone Number	:	828-322-8710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	11/03/2025

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