Provider Demographics
NPI:1225287238
Name:STUART L. CUNNINGHAM DDS
Entity Type:Organization
Organization Name:STUART L. CUNNINGHAM DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-225-5371
Mailing Address - Street 1:2 PILLSBURY ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3523
Mailing Address - Country:US
Mailing Address - Phone:603-225-5971
Mailing Address - Fax:603-225-5912
Practice Address - Street 1:2 PILLSBURY ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3523
Practice Address - Country:US
Practice Address - Phone:603-225-5971
Practice Address - Fax:603-225-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH022521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty