# MICHAEL J. KUNZLER DMD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912438524
- **Authorized official:** MICHAEL JAY KUNZLER DMD (OWNER)
- **Authorized official phone:** (307) 786-4500

## Contact information

- **Practice address:** 2822 HIGHWAY 414, LYMAN, WY 82937-9140
- **Practice address phone:** (307) 786-4500
- **Practice address fax:** (307) 786-4649
- **Mailing address:** 2822 HIGHWAY 414, LYMAN, WY 82937-9140
- **Mailing address phone:** (307) 786-4500
- **Mailing address fax:** (307) 786-4649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1116 | WY | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 120147600 | — | WY |
| 05 | — | 144552900 | — | WY |