Cundick, David
Cundick, David is an individual health care provider with primary practice located at 1700 N Butler Ave , Farmington NM 87401-6331. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cundick, David can be contacted via phone (505) 333-8635.Contact Information
Primary practice address
1700 N Butler Ave
Farmington NM 87401-6331
Phone: (505) 333-8635
Fax: (505) 258-4909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DD4059 | New Mexico |
Profile Details
| NPI number | 1164737102 |
|---|---|
| LBN Legal business name | Cundick, David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2010 |
| Last updated | Jul 1st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164737102 | NPPES |
| New Mexico | MEDICAID | 27077748 |
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