Provider Demographics
NPI:1265668586
Name:KUHL, PHILIP S (DMD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:S
Last Name:KUHL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 SANDY SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7422
Mailing Address - Country:US
Mailing Address - Phone:267-535-9321
Mailing Address - Fax:
Practice Address - Street 1:1675 SANDY SPRINGS DR
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-7422
Practice Address - Country:US
Practice Address - Phone:267-535-9321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 18619122300000X
FLDN186191223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist