Healthcare Provider Details
I. General information
NPI: 1073476677
Provider Name (Legal Business Name): WILLIAM N CUMMINGS DMD,PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8830 GAP NEWPORT PIKE
AVONDALE PA
19311-9740
US
IV. Provider business mailing address
8830 GAP NEWPORT PIKE
AVONDALE PA
19311-9740
US
V. Phone/Fax
- Phone: 610-721-7667
- Fax: 610-268-8329
- Phone: 610-721-7667
- Fax: 610-268-8329
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0300X |
| Taxonomy | Periodontics |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
NELS
CUMMINGS
Title or Position: PRESIDENT
Credential: DMD
Phone: 610-268-8300