Healthcare Provider Details

I. General information

NPI: 1760557839
Provider Name (Legal Business Name): JOHN NEWELL KUHRE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 S MACARTHUR BLVD SUITE #143
COPPELL TX
75019-4216
US

IV. Provider business mailing address

820 S MACARTHUR BLVD SUITE#143
COPPELL TX
75019-4216
US

V. Phone/Fax

Practice location:
  • Phone: 972-471-0800
  • Fax: 972-304-5467
Mailing address:
  • Phone: 972-471-0800
  • Fax: 972-304-5467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14533
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: