Individual
DR. JAY EDWARD CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
35 E BENJAMIN DR, NEW MARTINSVILLE, WV 26155-2705
(304) 455-5644
(304) 455-5644
Mailing address
35 E BENJAMIN DR, NEW MARTINSVILLE, WV 26155-2705
(304) 455-5644
(304) 455-5644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2031
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134966000
—
WV
Enumeration date
12/20/2006
Last updated
07/09/2007
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