=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528285327
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WILLIAM G. KUHN DDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1588 SOQUEL DR
-----------------------------------------------------
City | SANTA CRUZ
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95065-1714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-476-4601
-----------------------------------------------------
Fax | 831-476-1643
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1588 SOQUEL DR
-----------------------------------------------------
City | SANTA CRUZ
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95065-1714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-476-4601
-----------------------------------------------------
Fax | 831-476-1643
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223E0200X
-----------------------------------------------------
Taxonomy Name | Endodontics
-----------------------------------------------------
License Number | 39537
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------