Cunnningham, Robert

Cunnningham, Robert is an individual health care provider with primary practice located at 510 Northwood Rd , Lexington SC 29072-2809. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Cunnningham, Robert can be contacted via phone (803) 359-3215.

Contact Information

Primary practice address
510 Northwood Rd Lexington SC 29072-2809
Phone: (803) 359-3215
Fax: (803) 359-8664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4114 South Carolina

Profile Details

NPI number 1063632784
LBN Legal business name Cunnningham, Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063632784 NPPES
South Carolina MEDICAID ZX4114

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