Healthcare Provider Details

I. General information

NPI: 1407298680
Provider Name (Legal Business Name): SCOTT LEE KUHNS D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3727 SE OCEAN BLVD SUITE 208
STUART FL
34996-6740
US

IV. Provider business mailing address

3727 SE OCEAN BLVD SUITE 208
STUART FL
34996-6740
US

V. Phone/Fax

Practice location:
  • Phone: 772-287-1400
  • Fax:
Mailing address:
  • Phone: 772-287-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number9255
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: