Provider Demographics
NPI:1093857161
Name:KUHNEL, STEPHEN R (DDS)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:R
Last Name:KUHNEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6618 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4417
Mailing Address - Country:US
Mailing Address - Phone:561-588-8501
Mailing Address - Fax:561-582-6887
Practice Address - Street 1:6618 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4417
Practice Address - Country:US
Practice Address - Phone:561-588-8501
Practice Address - Fax:561-582-6887
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-068671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice