Provider Demographics
NPI:1467619007
Name:CUMMINGS, STEVEN C (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 VETERANS BLVD
Mailing Address - Street 2:STE 210
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-8723
Mailing Address - Country:US
Mailing Address - Phone:504-833-3200
Mailing Address - Fax:504-833-0813
Practice Address - Street 1:2400 VETERANS MEMORIAL BLVD
Practice Address - Street 2:STE 210
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4715
Practice Address - Country:US
Practice Address - Phone:504-833-3200
Practice Address - Fax:504-833-0813
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5882122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist