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NPI Code Detail

MEDICARE: DR. HARRY EUGENE KUNSELMAN DMD

MEDICARE:  DR. HARRY EUGENE KUNSELMAN  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
11223G0001XGeneral Practice DentistryDS021864LPA

General Provider Information

NPI Number : 1306809694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARRY EUGENE KUNSELMAN DMD
Provider Business Mailing Address
First Line : 473 MAIN ST
Second Line : PO BOX 6
City : REYNOLDSVILLE
State : PA
Zip : 15851-1250
Country : US
Telephone Number : 814-653-2227
Fax Number : 814-653-2227
Provider Business Practice Location Address
First Line : 473 MAIN ST
Second Line :
City : REYNOLDSVILLE
State : PA
Zip : 15851-1250
Country : US
Telephone Number : 814-653-2227
Fax Number : 814-653-2227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. HARRY EUGENE KUNSELMAN DMD” Practice Location

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