Healthcare Provider Details

I. General information

NPI: 1336157320
Provider Name (Legal Business Name): THOMAS LOSSIN KUHN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2064 CLINTON ST
BUFFALO NY
14206
US

IV. Provider business mailing address

2064 CLINTON ST
BUFFALO NY
14206
US

V. Phone/Fax

Practice location:
  • Phone: 716-822-8939
  • Fax: 716-822-3067
Mailing address:
  • Phone: 716-822-8939
  • Fax: 716-822-3067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number033162NY
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: