# CUNNINGHAM DENTAL PLLC

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

## Provider details

- **NPI number:** 1700229051
- **Authorized official:** DR. JAY BRIAN CUNNINGHAM DMD (MANAGER)
- **Authorized official phone:** (270) 705-7702

## Contact information

- **Practice address:** 4570 PECAN DRIVE, SUITE B, PADUCAH, KY 42001-7501
- **Practice address phone:** (270) 366-0735
- **Practice address fax:** (270) 366-0777
- **Mailing address:** 4570 PECAN DRIVE, SUITE B, PADUCAH, KY 42001-7501
- **Mailing address phone:** (270) 366-0735
- **Mailing address fax:** (270) 366-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8725 | KY | Yes |

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 04/16/2013