# MOUNDRIDGE DENTAL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699908731
- **Authorized official:** DR. CHRISTOPHER G CUMMING DMD (PRESIDENT)
- **Authorized official phone:** (620) 273-6236

## Contact information

- **Practice address:** 324 E 2ND ST, MOUNDRIDGE, KS 67107-7164
- **Practice address phone:** (620) 345-2100
- **Practice address fax:** (620) 345-2106
- **Mailing address:** 1833 NORTON CREEK RD, COTTONWOOD FALLS, KS 66845-9888
- **Mailing address phone:** (620) 273-6236
- **Mailing address fax:** (620) 273-8931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7190 | KS | Yes |

## Other

- **Enumeration date:** 08/24/2009
- **Last updated:** 08/24/2009