Healthcare Provider Details

I. General information

NPI: 1477552776
Provider Name (Legal Business Name): JODI B KUHN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 06/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 GROVE ST
DENVER CO
80204-2229
US

IV. Provider business mailing address

1400 GROVE ST
DENVER CO
80204-2229
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-2295
  • Fax: 303-825-2244
Mailing address:
  • Phone: 303-825-2295
  • Fax: 303-825-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8162
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30-022267
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN-10562
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: