Provider Demographics
NPI:1952331456
Name:CUNNINGHAM, RICHARD PRATT (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PRATT
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 1:7227 N HIGH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2343
Mailing Address - Country:US
Mailing Address - Phone:614-885-2022
Mailing Address - Fax:614-888-0284
Practice Address - Street 1:7227 N HIGH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2343
Practice Address - Country:US
Practice Address - Phone:614-885-2022
Practice Address - Fax:614-888-0284
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH144241223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics