Individual
DR. MICHELLE O CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
256 ASHMONT ST, DORCHESTER CENTER, MA 02124-3804
(617) 282-0220
Mailing address
256 ASHMONT ST, DORCHESTER CENTER, MA 02124-3804
(617) 282-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
07/19/2007
Last updated
08/20/2008
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