Provider Demographics
NPI:1417014358
Name:CUMMINGS, LEWIS CONNER (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:CONNER
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 KINGWOOD DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3001
Mailing Address - Country:US
Mailing Address - Phone:281-358-4888
Mailing Address - Fax:281-358-6062
Practice Address - Street 1:1110 KINGWOOD DR
Practice Address - Street 2:SUITE 105
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3001
Practice Address - Country:US
Practice Address - Phone:281-358-4888
Practice Address - Fax:281-358-6062
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201901223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics