Healthcare Provider Details

I. General information

NPI: 1831211531
Provider Name (Legal Business Name): JOSEPH EDWARD KUHAR D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 MOORPARK AVE SUITE E
SAN JOSE CA
95117-1712
US

IV. Provider business mailing address

4110 MOORPARK AVE SUITE E
SAN JOSE CA
95117-1712
US

V. Phone/Fax

Practice location:
  • Phone: 408-244-2000
  • Fax: 408-244-2098
Mailing address:
  • Phone: 408-244-2000
  • Fax: 408-244-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number15864
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: