Healthcare Provider Details

I. General information

NPI: 1053178137
Provider Name (Legal Business Name): KEVIN KUNIYOSHI, D.D.S., P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 MEDICAL PARK LN STE L
MURPHY NC
28906-6663
US

IV. Provider business mailing address

145 MEDICAL PARK LN STE L
MURPHY NC
28906-6663
US

V. Phone/Fax

Practice location:
  • Phone: 828-516-1540
  • Fax: 828-516-1541
Mailing address:
  • Phone: 828-516-1540
  • Fax: 828-516-1541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KEVIN KUNIYOSHI
Title or Position: DENTIST/ OWNER
Credential:
Phone: 828-516-1540