Provider Demographics
NPI:1164643433
Name:KUNKES, SARA KUNKES (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:KUNKES
Last Name:KUNKES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SHELLRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1370
Mailing Address - Country:US
Mailing Address - Phone:716-689-8115
Mailing Address - Fax:
Practice Address - Street 1:6350 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-1031
Practice Address - Country:US
Practice Address - Phone:716-636-8686
Practice Address - Fax:171-620-6728
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043751122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist