MEDICARE: STEVEN C CUMMINGS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5882	LA

General Provider Information

NPI Number	:	1467619007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN C CUMMINGS DDS

Provider Business Mailing Address
First Line	:	2400 VETERANS BLVD
Second Line	:	STE 210
City	:	KENNER
State	:	LA
Zip	:	70062-8723
Country	:	US
Telephone Number	:	504-833-3200
Fax Number	:	504-833-0813

Provider Business Practice Location Address
First Line	:	2400 VETERANS MEMORIAL BLVD
Second Line	:	STE 210
City	:	KENNER
State	:	LA
Zip	:	70062-4715
Country	:	US
Telephone Number	:	504-833-3200
Fax Number	:	504-833-0813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	05/21/2008

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