Healthcare Provider Details

I. General information

NPI: 1861696932
Provider Name (Legal Business Name): AMANDA KUHN D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 COLONY CROSSING PL
MIDLOTHIAN VA
23112-4281
US

IV. Provider business mailing address

2400 COLONY CROSSING PL
MIDLOTHIAN VA
23112-4281
US

V. Phone/Fax

Practice location:
  • Phone: 804-639-6445
  • Fax: 804-639-6400
Mailing address:
  • Phone: 804-639-6445
  • Fax: 804-639-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number0401411501
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: