Provider Demographics
NPI:1275677221
Name:CUNNINGHAM, GREY JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREY
Middle Name:JAMES
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7741 VIA CAPRI
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4039
Mailing Address - Country:US
Mailing Address - Phone:858-454-7776
Mailing Address - Fax:
Practice Address - Street 1:7300 GIRARD AVE
Practice Address - Street 2:#206
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5138
Practice Address - Country:US
Practice Address - Phone:858-454-4114
Practice Address - Fax:858-454-6030
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA361431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice