Healthcare Provider Details

I. General information

NPI: 1871856625
Provider Name (Legal Business Name): CHRISTOPHER KUHNS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 06/21/2020
Certification Date: 06/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 W OLD US HIGHWAY 441
MOUNT DORA FL
32757-3626
US

IV. Provider business mailing address

2023 W OLD US HIGHWAY 441
MOUNT DORA FL
32757-3626
US

V. Phone/Fax

Practice location:
  • Phone: 352-735-5400
  • Fax:
Mailing address:
  • Phone: 352-735-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN19741
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: