Kunzman, David Gordon

Kunzman, David Gordon is an sole proprietor health care provider with primary practice located at 411 Fairview St , Clinton NC 28328-2311. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kunzman, David Gordon can be contacted via phone (910) 592-3516.

Contact Information

Primary practice address
411 Fairview St Clinton NC 28328-2311
Fax: (910) 592-0530
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4857 North Carolina

Profile Details

NPI number 1275540619
LBN Legal business name Kunzman, David Gordon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 21st, 2022 - about 3 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 1275540619 NPPES
North Carolina MEDICAID 8995078

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