Healthcare Provider Details

I. General information

NPI: 1093857161
Provider Name (Legal Business Name): STEPHEN R KUHNEL D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6618 S DIXIE HWY
WEST PALM BEACH FL
33405-4417
US

IV. Provider business mailing address

6618 S DIXIE HWY
WEST PALM BEACH FL
33405-4417
US

V. Phone/Fax

Practice location:
  • Phone: 561-588-8501
  • Fax: 561-582-6887
Mailing address:
  • Phone: 561-588-8501
  • Fax: 561-582-6887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN-06867
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: