Paul T Kundrick DDS,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAUL T KUNDRICK DDS,PC

Practice address

235A S Main St
Edwardsville, IL 62025-1921

Phone

(618) 656-0451

NPI assigned

Dec 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Kundrick

Title

Officer

Phone

(618) 656-0451

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316015753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 A SOUTH MAIN STREET",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235A S MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251921",
            "telephone_number": "618-656-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T KUNDRICK DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNDRICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "618-656-0451",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joaquin Ivan Pasquel Salcedo, PT
• Jennifer Chiamaka Pat-Onwo
• Ravi Vinubhai Patel, DC
• Toral Jitendra Patel
• Harold R. Patton, D.D.S.
• Jennifer K. Payne, MA
• Vivian Jean Perry
• Kaleigh Ann Peters
• Kara Peters
• Nathaniel J Peterson, DMD

• General Practice Dentistry in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.