Kunstman, Andrew Thomas

Kunstman, Andrew Thomas is an sole proprietor health care provider with primary practice located at 1989 Frontage Rd , Sierra Vista AZ 85635-4698. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kunstman, Andrew Thomas can be contacted via phone (520) 458-5611.

Contact Information

Primary practice address
1989 Frontage Rd Sierra Vista AZ 85635-4698
Fax: (520) 458-8995
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3996 Arizona

Profile Details

NPI number 1225194319
LBN Legal business name Kunstman, Andrew Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225194319 NPPES
Arizona MEDICAID 094582
Arizona Other 631015

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