Shannon Carol Cunningham, D.D.S.

General Practice Dentistry · Cottage Grove, MN

Individual Active NPI

NPI number 1770681173

Practice location

7430 80TH St S
Suite 202
Cottage Grove, MN 55016-3035
Phone
(651) 459-6884
Fax
(651) 459-5670

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NPI record

NPI
1770681173
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11160 MN

Mailing address

1956 Juliet Ave
Saint Paul, MN 55105-1722

About Dr. Cunningham

Shannon Carol Cunningham, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 7430 80TH St S, Suite 202, Cottage Grove, MN 55016-3035. The NPI number 1770681173 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.

Dr. Cunningham lists a license in the registry: #D11160 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shannon Carol Cunningham, D.D.S.?

The NPI number is 1770681173.

What is the phone number of Dr. Cunningham?

The phone number listed for the practice location is (651) 459-6884.

Where is Dr. Cunningham located?

7430 80TH St S, Suite 202, Cottage Grove, MN 55016-3035.

What is the taxonomy code for Dr. Cunningham?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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