Talisha H Cunningham, D.M.D.
Individual provider Active NPI General Practice Dentistry · Starke, FL
NPI 1386880896 · NPPES record last updated Jan 5, 2009
Key facts
- NPI
- 1386880896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN15127 (FL)
- Practice address
- 459 W Call St
Starke, FL 32091-3115 - Phone
- (904) 964-5152
- Fax
- (904) 964-9557
- NPI assigned
- Jan 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15127 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NLD #4 - Starke PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN15127 | FL | Yes |
Addresses
Primary practice location
459 W Call St
Starke, FL 32091-3115
Mailing address
459 W Call St
Starke, FL 32091-3115
Phone (904) 964-5152
Other providers in Starke, FL
- Thomas Joseph Collins
- Shecara Coney
- County of Bradford
- Kristina Libby Crawford
- Creating Communication, Inc.
- Jennifer Faith Darley
- Norma Jean Davis
- John Decerce
- Delta Health Group Inc
- Sara Ann Denmark
All providers in Starke, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.