Provider Demographics
NPI:1336369461
Name:CUNNINGHAM, RALPH PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:PATRICK
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 1:901 MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2923
Mailing Address - Country:US
Mailing Address - Phone:914-739-9400
Mailing Address - Fax:
Practice Address - Street 1:901 MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2923
Practice Address - Country:US
Practice Address - Phone:914-739-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0305081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice