Healthcare Provider Details

I. General information

NPI: 1477292555
Provider Name (Legal Business Name): MEGAN BUCKLEY KUHN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 05/27/2022
Certification Date: 05/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1971 N MAIN ST
SUMMERVILLE SC
29486-7890
US

IV. Provider business mailing address

309 KENILWORTH RD
SUMMERVILLE SC
29485-3495
US

V. Phone/Fax

Practice location:
  • Phone: 843-871-0842
  • Fax:
Mailing address:
  • Phone: 843-499-1325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10186
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: