Organization
CUNNINGHAM DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY BRIAN CUNNINGHAM DMD (MANAGER)
(270) 705-7702
Entity
Organization
Contact information
Practice address
4570 PECAN DRIVE, SUITE B, PADUCAH, KY 42001-7501
(270) 366-0735
(270) 366-0777
Mailing address
4570 PECAN DRIVE, SUITE B, PADUCAH, KY 42001-7501
(270) 366-0735
(270) 366-0777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8725
KY
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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