MEDICARE: DR. JAMES KUNZLER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0004X	Dental Anesthesiology	004324	OH

General Provider Information

NPI Number	:	1013584572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES KUNZLER DDS

Provider Business Mailing Address
First Line	:	3154 VALLEJO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211
Country	:	US
Telephone Number	:	330-903-1152
Fax Number	:

Provider Business Practice Location Address
First Line	:	3154 VALLEJO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-1267
Country	:	US
Telephone Number	:	330-903-1152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2021
Last Update Date	:	07/13/2024

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