Provider Demographics
NPI:1821103219
Name:CUMMINGS, RONALD N (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:N
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 1:2600 S HANNON HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309
Mailing Address - Country:US
Mailing Address - Phone:850-893-3877
Mailing Address - Fax:
Practice Address - Street 1:1378 TIMBERLANE ROAD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-1766
Practice Address - Country:US
Practice Address - Phone:850-893-5018
Practice Address - Fax:850-893-4012
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 8138122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist