# CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange County Centers for Oral Surgery & Dental Implants, Moody, Cummings, Balasanian & Caputo, DDS, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700962347
- **Authorized official:** DR. DAVID RAYMOND CUMMINGS D.D.S. (OWNER)
- **Authorized official phone:** (949) 760-1600

## Contact information

- **Practice address:** 26302 LA PAZ RD, SUITE 102, MISSION VIEJO, CA 92691-5313
- **Practice address phone:** (949) 596-7000
- **Practice address fax:** (949) 586-0158
- **Mailing address:** 26302 LA PAZ RD, SUITE 102, MISSION VIEJO, CA 92691-5313
- **Mailing address phone:** (949) 596-7000
- **Mailing address fax:** (949) 586-0158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 05/12/2020