Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DEAN CUNNINGHAM, DDS
Active Sole ProprietorDR. MICHAEL DEAN CUNNINGHAM, DDS is a Pediatric Dentistry healthcare provider located in FOND DU LAC, Wisconsin. NPI 1003929704 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FOND DU LAC, WI
Registration Details
- NPI Number
- 1003929704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (20.004895481604 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5567-015 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
545 E JOHNSON STFOND DU LAC, WI, 549352856Browse WI providers · Browse ZIP 54935
- Phone
- 9209249090
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.