Dentist in BLOOMINGTON, IL
Last Updated on : Jul 08,2007
CHARLES FREDERICK CUNNINGHAM is a Dentist provider in BLOOMINGTON, United States. His medical specialization is Dentist .
1952468464 is NPI number of CHARLES FREDERICK CUNNINGHAM.
CHARLES FREDERICK CUNNINGHAM's primary taxonomy code based on NPI Lookup is 122300000X with license number 019015536. This taxonomy code refers to Dentist.
CHARLES FREDERICK CUNNINGHAM has more than 15 years of experience.
CHARLES FREDERICK CUNNINGHAM current practice location address is 202 S ELDORADO RD, BLOOMINGTON, IL. CHARLES FREDERICK CUNNINGHAM can be reached out via phone at 309-663-6551 and via fax at 309-663-2578 .
You can also correspond with CHARLES FREDERICK CUNNINGHAM through mail at mailing address 202 S ELDORADO RD, BLOOMINGTON, IL, United States. Mailing address contact number is 309-663-6551.
The enumeration date of CHARLES FREDERICK CUNNINGHAM is 03-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 16 years ago.Basic NPI information of CHARLES FREDERICK CUNNINGHAM (NPI 1952468464) is provided below.
Name | CHARLES FREDERICK CUNNINGHAM |
---|---|
National Provider Id (NPI) | 1952468464 |
Entity Type | Individual |
Gender | M |
Credential | DDS |
Practice Address | 202 S ELDORADO RD,
BLOOMINGTON, IL, United States |
Practice Telephone | 309-663-6551 |
Practice Fax Number | 309-663-2578 |
Mailing Address | 202 S ELDORADO RD ,
BLOOMINGTON, IL, United States |
Mailing Telephone | 309-663-6551 |
Mailing Fax Number | 309-663-2578 |
Enumeration Date | 03-Jan-2007 |
Last Updated Date | 08-Jul-2007 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 019015536 | IL |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1053884841 | VIRGINA OLALDE | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
04-Jan-2019 |
1003964107 | ALPESH K PATEL | Dentist, General Practice | 17644 VALLEY BLVD,
UNITA # 1 BLOOMINGTON, CA, United States |
08-Jan-2007 |
1033683123 | NICHOLAS SMITH | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
11-Jan-2019 |
1437335619 | LINDA HOON | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
17-Jan-2008 |
1386143881 | DIMAS GIOVANNI CALVACHI | Nurse Practitioner, Family | 18601 VALLEY BLVD,
BLOOMINGTON, CA, United States |
09-Feb-2018 |
1720127210 | CHELIE M MIDDLETON | Registered Nurse | 9774 OLIVE ST,
BLOOMINGTON, CA, United States |
05-Feb-2007 |
1558600429 | JOSE ORTIZ | Dental Hygienist | 11226 MEADOWLARK LN,
BLOOMINGTON, CA, United States |
12-Feb-2013 |
1932379104 | IVETTE CAROLINA RODRIGUEZ | Case Manager/Care Coordinator | 572 N ARROWHEAD AVE,
SAN BERNARDINO, CA, United States |
04-Mar-2008 |
1487112926 | SARAH SOSA | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
04-Mar-2019 |
1063970507 | SANDRA CUEVAS | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
04-Mar-2019 |
1760940217 | SANDY MADRID | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
04-Mar-2019 |
1568920056 | JESSICA M GUZMAN | Behavior Technician | 17796 MARYGOLD AVE,
BLOOMINGTON, CA, United States |
04-Mar-2019 |
1386102630 | ANNMARIE VIELMA | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
06-Mar-2019 |
1427598622 | DIANE SCOTT | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
07-Mar-2017 |
1275875759 | SUZAN SHAKHSHIR | Nurse Practitioner, Family | 18601 VALLEY BLVD,
BLOOMINGTON, CA, United States |
21-Mar-2013 |
1093210734 | CHRISTOPHER BROWN | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
26-Mar-2018 |
1306088935 | NOLAN PERINE | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
27-Mar-2009 |
1336601756 | NEHA SHAH | Dentist, General Practice | 16140 BLACKSAGE CT,
RIVERSIDE, CA, United States |
03-Apr-2019 |
1760987820 | DEIRDRE COONEY | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
29-Mar-2018 |
1609294891 | JOELEEN PUNSALAN | Counselor, Addiction (Substance Use Disorder) | 18612 SANTA ANA AVE,
BLOOMINGTON, CA, United States |
03-Apr-2014 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1952468464 is the NPI number of CHARLES FREDERICK CUNNINGHAM.
What is the specialty for CHARLES FREDERICK CUNNINGHAM?The Specialty of CHARLES FREDERICK CUNNINGHAM is Dentist.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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