Provider Demographics
NPI:1467337212
Name:CHAND, KANUSH KUMAR (DDS)
Entity type:Individual
Prefix:DR
First Name:KANUSH
Middle Name:KUMAR
Last Name:CHAND
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 1:1520 S 108TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4019
Mailing Address - Country:US
Mailing Address - Phone:414-400-3343
Mailing Address - Fax:
Practice Address - Street 1:1520 S 108TH ST STE D
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-4019
Practice Address - Country:US
Practice Address - Phone:414-400-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001828-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist