Provider Demographics
NPI:1235341611
Name:DONALD A. CUMMINGS, D.D.S., P.C.
Entity Type:Organization
Organization Name:DONALD A. CUMMINGS, D.D.S., P.C.
Other - Org Name:JACKSON COUNTY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC TRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-522-8608
Mailing Address - Street 1:324 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2199
Mailing Address - Country:US
Mailing Address - Phone:812-522-8608
Mailing Address - Fax:812-523-6202
Practice Address - Street 1:324 W 2ND ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2199
Practice Address - Country:US
Practice Address - Phone:812-522-8608
Practice Address - Fax:812-523-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN85621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty