Provider Demographics
NPI:1720192347
Name:CUMMINGS, DENNIS R (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:R
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 1:13023 NE HIGHWAY 99
Mailing Address - Street 2:SUITE 5
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-2767
Mailing Address - Country:US
Mailing Address - Phone:360-573-8230
Mailing Address - Fax:360-574-4826
Practice Address - Street 1:13023 NE HIGHWAY 99
Practice Address - Street 2:SUITE 5
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2767
Practice Address - Country:US
Practice Address - Phone:360-573-8230
Practice Address - Fax:360-574-4826
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA43301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice