MEDICARE: DAVID G KUNTZ DMD ASSOCIATES

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	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1811075294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID G KUNTZ DMD ASSOCIATES

Provider Business Mailing Address
First Line	:	1834 OREGON PIKE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-6463
Country	:	US
Telephone Number	:	717-569-6461
Fax Number	:	717-569-5793

Provider Business Practice Location Address
First Line	:	1834 OREGON PIKE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-6463
Country	:	US
Telephone Number	:	717-569-6461
Fax Number	:	717-569-5793

Authorized Official
Title or Position	:	PRESIDENT DENTIST
Name	:	DR. DAVID GORDON KUNTZ
Credential	:	DMD
Telephone Number	:	717-569-6461

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/22/2020

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