Individual
DANIEL MARSHALL CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D
Contact information
Practice address
4224 HOUMA BLVD, SUITE 670, METAIRIE, LA 70006-2933
(504) 456-5033
Mailing address
4224 HOUMA BLVD, SUITE 670, METAIRIE, LA 70006-2933
(504) 456-5033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6044
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
303430
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2010
Last updated
12/01/2021
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