Provider Demographics
NPI:1336558402
Name:KUNS, EMILY LAUREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:LAUREN
Last Name:KUNS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 HEYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-8386
Mailing Address - Country:US
Mailing Address - Phone:419-239-7787
Mailing Address - Fax:
Practice Address - Street 1:3708 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5776
Practice Address - Country:US
Practice Address - Phone:419-626-8853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-03
Last Update Date:2014-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024307122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist