NPI 1194201467 · live from the CMS NPI Registry
Patrick Kunkel, D.D.S., M.S.D
Dentist, Orthodontics and Dentofacial Orthopedics in Sandy, UT. National Provider Identifier 1194201467, active.
NPI record
| NPI | 1194201467 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 641 W 9000 S, Sandy, UT 84070 |
| Practice phone | 385-900-5200 |
| Mailing address | 826 Spring Mill Ln, Indianapolis, IN 46260 |
| Enumerated | July 19, 2018 |
| Last updated | July 27, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10796726-9921 (UT) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | -12012388A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.