MEDICARE: DR. RONALD N CUMMINGS DDS MS

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	DN 8138	FL

General Provider Information

NPI Number	:	1821103219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD N CUMMINGS DDS MS

Provider Business Mailing Address
First Line	:	2600 S HANNON HILL DRIVE
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309
Country	:	US
Telephone Number	:	850-893-3877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1378 TIMBERLANE ROAD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-1766
Country	:	US
Telephone Number	:	850-893-5018
Fax Number	:	850-893-4012

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/08/2007

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