Organization
CUNNINGHAM DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON EDGAR CUNNINGHAM DDS (PRESIDENT)
(423) 743-9133
Entity
Organization
Contact information
Practice address
510 N MAIN AVE, ERWIN, TN 37650-1393
(423) 743-9133
(423) 743-9133
Mailing address
510 N MAIN AVE, ERWIN, TN 37650-1393
(423) 743-9133
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7771
TN
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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