Provider Demographics
NPI:1598959173
Name:ROBERT E. KUGA, D.D.S., P.C.
Entity Type:Organization
Organization Name:ROBERT E. KUGA, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KUGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-281-1300
Mailing Address - Street 1:115 PARK ST SE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4653
Mailing Address - Country:US
Mailing Address - Phone:703-281-1300
Mailing Address - Fax:703-281-7508
Practice Address - Street 1:115 PARK ST SE
Practice Address - Street 2:SUITE 201
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4653
Practice Address - Country:US
Practice Address - Phone:703-281-1300
Practice Address - Fax:703-281-7508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA44481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty