Provider Demographics
NPI:1336708254
Name:KUHN, LOGAN HOBBS (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOGAN
Middle Name:HOBBS
Last Name:KUHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 HICKORYNUT CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4573
Mailing Address - Country:US
Mailing Address - Phone:501-519-3141
Mailing Address - Fax:
Practice Address - Street 1:301 N SHACKLEFORD RD STE B1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2882
Practice Address - Country:US
Practice Address - Phone:501-227-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR43601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice