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MICHAEL KUNKEL DDS PROFESSIONAL LLC NPI 1376989707


NPI Information

NPI: 1376989707
Provider Name: MICHAEL KUNKEL DDS PROFESSIONAL LLC

Doing Business As: ORAL AND FACIAL SURGERY CENTER

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3475 BRIARGATE BLVD
SUITE 102
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 264-6070
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MICHAEL KUNKEL DDS PROFESSIONAL LLC is an oral and maxillofacial surgery dentist in Colorado Springs, CO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MICHAEL KUNKEL DDS PROFESSIONAL LLC NPI is 1376989707. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oral And Facial Surgery Center.

The provider's business location address is:

3475 BRIARGATE BLVD
SUITE 102
COLORADO SPRINGS, CO
ZIP 80920-170
Phone: (719) 264-6070
Fax: (719) 264-6090

The provider's authorized official is Michael Kunkel .
The authorized official title is Managing Member and has the following contact phone number (719) 264-6070.

The enumeration date for this NPI number is 5/13/2013 and was last updated on 5/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDEN.00201943COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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