Provider Demographics
NPI:1417475203
Name:NUTH, LAUREN KUHN (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:KUHN
Last Name:NUTH
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:KUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, MSD
Mailing Address - Street 1:741 HELEN CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-2356
Mailing Address - Country:US
Mailing Address - Phone:360-580-8026
Mailing Address - Fax:
Practice Address - Street 1:2125 UPPER 55TH ST E STE 200
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55077-1732
Practice Address - Country:US
Practice Address - Phone:651-451-6479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC90171223G0001X
MND143031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC9017OtherSOUTH CAROLINA DENTAL LICENSE
MND14303OtherMINNESOTA DENTAL LICENSE