Healthcare Provider Details

I. General information

NPI: 1326267113
Provider Name (Legal Business Name): MICHAEL J KUHN DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 HIGH ST SUITE 4
WALDORF MD
20602-2150
US

IV. Provider business mailing address

1938 MOUNTAIN AVE
BALTIMORE MD
21234-2726
US

V. Phone/Fax

Practice location:
  • Phone: 301-843-0620
  • Fax:
Mailing address:
  • Phone: 410-882-4743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number9902
License Number StateMD

VIII. Authorized Official

Name: DR. MICHAEL JEFFREY KUHN
Title or Position: PRESIDENT, ORTHODONTIST
Credential: D.D.S.
Phone: 410-882-4743