Provider Demographics
NPI:1770306300
Name:KUHN, GARRETT SCOTT (DDS)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:SCOTT
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 1:17899 COUNTY ROAD 97
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-9376
Mailing Address - Country:US
Mailing Address - Phone:530-908-9987
Mailing Address - Fax:
Practice Address - Street 1:2041 BRONZE STAR DR STE 100
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95776-5428
Practice Address - Country:US
Practice Address - Phone:530-662-7592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1108911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice