Provider Demographics
NPI:1881705655
Name:KUHN, MELINDA M (DMD)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:M
Last Name:KUHN
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 1:4101 CAUGHLIN SQ STE 3
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0957
Mailing Address - Country:US
Mailing Address - Phone:775-829-9331
Mailing Address - Fax:775-829-7474
Practice Address - Street 1:4101 CAUGHLIN SQ STE 3
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-0957
Practice Address - Country:US
Practice Address - Phone:775-829-9331
Practice Address - Fax:775-829-7474
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV57341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002216308Medicaid