Provider Demographics
NPI:1487724811
Name:KUN, MICHAEL E (DMD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:KUN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 THIRD STREET
Mailing Address - Street 2:SUITE A 2
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-5900
Mailing Address - Country:US
Mailing Address - Phone:610-266-9048
Mailing Address - Fax:610-266-0250
Practice Address - Street 1:881 THIRD STREET
Practice Address - Street 2:SUITE A 2
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-5900
Practice Address - Country:US
Practice Address - Phone:610-266-9048
Practice Address - Fax:610-266-0250
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027849L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist