Provider Demographics
NPI:1700971785
Name:CUMMINGS, CATHERINE LOUISE (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LOUISE
Last Name:CUMMINGS
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Gender:F
Credentials:DMD, MS
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Mailing Address - Street 1:315 MCHUGH BLVD
Mailing Address - Street 2:2D DENBN/NDC
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28547-2511
Mailing Address - Country:US
Mailing Address - Phone:901-451-2208
Mailing Address - Fax:910-451-8036
Practice Address - Street 1:315 MCHUGH BLVD
Practice Address - Street 2:2D DENBN/NDC
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2511
Practice Address - Country:US
Practice Address - Phone:901-451-2208
Practice Address - Fax:910-451-8036
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS 028323L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics