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Deactivated NPI 1023459690 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Lee Cunningham , DDS

Dentist • Ketchum, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Cunningham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2013
NPI Deactivation Date December 09, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Cunningham, DDS was a registered Dentist practicing in Ketchum, ID. Throughout an active medical career spanning 7 years, Dr. Cunningham provided care at the practice location at 120 SECOND AVE until profile deactivation on 2020-12-09.

Practice Location & Contact Primary Location

Practice Address

120 Second Ave
#202

Ketchum, ID 833400419

Telephone 2087263457
Fax 2087271955
Associated Practice Facility / Clinic
🏢 Robert L Cunningham Dds Pllc Facility NPI 1306037007

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ketchum, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Ketchum, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-3298

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 09, 2020

Record deactivated on December 09, 2020

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2013

Registered at 120 SECOND AVE, #202, KETCHUM, ID 833400419 (Tel: 2087263457)

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Updated Business Mailing Address July 11, 2013

Registered at PO BOX 419, KETCHUM, ID 833400419 (Tel: 2087263457)

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Provider Name / Credentials Updated July 11, 2013

Recorded as ROBERT CUNNINGHAM, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Dentist (License #D-3298 in ID)

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Initial NPI Registration & Enumeration July 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023459690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2013
Last Update: July 11, 2013
Deactivation Date: December 09, 2020

Mailing Address

Po Box 419

Ketchum, ID 833400419

Phone: 2087263457

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.