MEDICARE: DR. PHILIP S KUHL DMD

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	122300000X	Dentist	DN 18619	FL
2	1223P0221X	Pediatric Dentistry	DN18619	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265668586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP S KUHL DMD

Provider Business Mailing Address
First Line	:	1675 SANDY SPRINGS DR
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-7422
Country	:	US
Telephone Number	:	267-535-9321
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 SANDY SPRINGS DR
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-7422
Country	:	US
Telephone Number	:	267-535-9321
Fax Number	:

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

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	08/02/2013

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