1609576107 NPI number — KUKUNAS PROSTHODONTICS, PLLC

Table of content: (NPI 1609576107)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609576107 NPI number — KUKUNAS PROSTHODONTICS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KUKUNAS PROSTHODONTICS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609576107
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3516 5TH AVE STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213-3332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-681-5221
Provider Business Mailing Address Fax Number:
412-681-5221

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3516 5TH AVE STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213-3332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-681-5221
Provider Business Practice Location Address Fax Number:
412-681-5221
Provider Enumeration Date:
03/06/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KUKUNAS
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PROSTHODONTIST
Authorized Official Telephone Number:
412-877-6157

Provider Taxonomy Codes

  • Taxonomy code: 1223P0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)