Individual
DR. JASON EDGAR CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510 N MAIN AVE, ERWIN, TN 37650-1393
(423) 743-9133
(423) 743-1928
Mailing address
510 N MAIN AVE, ERWIN, TN 37650-1393
(423) 743-9133
(423) 743-1928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7771
TN
Other
Enumeration date
12/29/2006
Last updated
11/26/2019
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