Provider Demographics
NPI:1528635604
Name:KUNDE, ARIEL N (DMD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:N
Last Name:KUNDE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11924 ANTEBELLUM DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3610
Mailing Address - Country:US
Mailing Address - Phone:803-984-7709
Mailing Address - Fax:
Practice Address - Street 1:244 LATITUDE LN STE 103
Practice Address - Street 2:
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710-8125
Practice Address - Country:US
Practice Address - Phone:803-831-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.99181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice