Provider Demographics
NPI:1265587372
Name:CUNNINGTON, JAMES O II (DDS, FAGD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:O
Last Name:CUNNINGTON
Suffix:II
Gender:M
Credentials:DDS, FAGD
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Mailing Address - Street 1:1693 SW CHANDLER AVE
Mailing Address - Street 2:#280
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3236
Mailing Address - Country:US
Mailing Address - Phone:541-322-8881
Mailing Address - Fax:541-322-0424
Practice Address - Street 1:1693 SW CHANDLER AVE
Practice Address - Street 2:#280
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3236
Practice Address - Country:US
Practice Address - Phone:541-322-8881
Practice Address - Fax:541-322-0424
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORD83121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice