Provider Demographics
NPI:1194705368
Name:FUHS, QUENTIN MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:QUENTIN
Middle Name:MICHAEL
Last Name:FUHS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4135 RESERVE PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-1037
Mailing Address - Country:US
Mailing Address - Phone:563-581-5074
Mailing Address - Fax:
Practice Address - Street 1:1050 S 8TH ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-7307
Practice Address - Country:US
Practice Address - Phone:719-633-8455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-22
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.001048741223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty