Provider Demographics
NPI:1306809694
Name:KUNSELMAN, HARRY EUGENE (DMD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:EUGENE
Last Name:KUNSELMAN
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 1:473 MAIN ST
Mailing Address - Street 2:PO BOX 6
Mailing Address - City:REYNOLDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15851-1250
Mailing Address - Country:US
Mailing Address - Phone:814-653-2227
Mailing Address - Fax:814-653-2227
Practice Address - Street 1:473 MAIN ST
Practice Address - Street 2:
Practice Address - City:REYNOLDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15851-1250
Practice Address - Country:US
Practice Address - Phone:814-653-2227
Practice Address - Fax:814-653-2227
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021864L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice