Provider Demographics
NPI:1740405984
Name:CUNNINGHAM, WILLIAM PEYTON III (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PEYTON
Last Name:CUNNINGHAM
Suffix:III
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1943 E 70TH ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-5351
Mailing Address - Country:US
Mailing Address - Phone:318-798-3204
Mailing Address - Fax:318-798-3205
Practice Address - Street 1:1943 E 70TH ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5351
Practice Address - Country:US
Practice Address - Phone:318-798-3204
Practice Address - Fax:318-798-3205
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA42691223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics