Individual
DR. LARRY L CUNNINGHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3501 TERRACE STREET, SUITE 3189, PITSBURGH, PA 15213-2523
(412) 648-9100
(412) 383-7862
Mailing address
3501 TERRACE STREET, SUITE 3189, PITTSBURGH, PA 15213-2523
(412) 648-9100
(412) 383-7862
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7704
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS042379
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7704
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS042379
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036810350001
—
PA
Enumeration date
09/25/2006
Last updated
03/05/2020
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