Healthcare Provider Details

I. General information

NPI: 1720186059
Provider Name (Legal Business Name): SCOTT L. KUHNS D.M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/27/2008
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: 772-287-1699
Mailing address:
  • Phone: 772-287-1400
  • Fax: 772-287-1699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number9255
License Number StateFL

VIII. Authorized Official

Name: DR. SCOTT L. KUHNS
Title or Position: PRESIDENT
Credential: D.M.D.
Phone: 772-287-1400