Healthcare Provider Details

I. General information

NPI: 1275292641
Provider Name (Legal Business Name): KUHR DENTAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 LEWIS ST S STE 101
SHAKOPEE MN
55379-2290
US

IV. Provider business mailing address

20265 VERNON AVE
PRIOR LAKE MN
55372-8122
US

V. Phone/Fax

Practice location:
  • Phone: 952-445-3349
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN ROBERT KUHR
Title or Position: DENTIST
Credential: DDS
Phone: 612-810-6638