Provider Demographics
NPI:1932234465
Name:CUMMINGS, E. MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:E. MICHAEL
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 FRANKLIN AVE
Mailing Address - Street 2:SUITE #254
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5806
Mailing Address - Country:US
Mailing Address - Phone:516-747-1266
Mailing Address - Fax:516-747-1267
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:SUITE #254
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5801
Practice Address - Country:US
Practice Address - Phone:516-747-1266
Practice Address - Fax:516-747-1267
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0389031223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics