Provider Demographics
NPI:1558607937
Name:KAI D FUNKE DDS LTD
Entity Type:Organization
Organization Name:KAI D FUNKE DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAI
Authorized Official - Middle Name:D
Authorized Official - Last Name:FUNKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:775-337-6700
Mailing Address - Street 1:805 W 7TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2700
Mailing Address - Country:US
Mailing Address - Phone:775-337-6700
Mailing Address - Fax:775-337-6770
Practice Address - Street 1:805 W 7TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2700
Practice Address - Country:US
Practice Address - Phone:775-337-6700
Practice Address - Fax:775-337-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3183122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty