Individual
DR. BRUCE EDWARD CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1450 1ST AVE SW, JACKSONVILLE, AL 36265-3329
(256) 435-2007
(256) 435-2447
Mailing address
1450 1ST AVE SW, JACKSONVILLE, AL 36265-3329
(256) 435-2007
(256) 435-2447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3239
AL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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