Organization
DENTAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CUMMINGS DDS (PRESIDENT)
(615) 370-4605
Entity
Organization
Contact information
Practice address
534 HIGHLAND TER, MURFREESBORO, TN 37130-2419
(615) 895-9906
Mailing address
783 OLD HICKORY BLVD STE 230, BRENTWOOD, TN 37027-4508
(615) 370-4605
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS2844
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3093003
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/06/2009
Last updated
08/06/2009
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