Individual
DR. BRAD CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6400 SW 3RD ST, STE B, OKLAHOMA CITY, OK 73128-2206
(405) 458-5822
Mailing address
2401 SAN MARCO LN, EDMOND, OK 73034-2354
(909) 747-9482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
100584
CA
1223G0001X
General Practice Dentistry
Primary
6893
OK
Other
Enumeration date
08/02/2016
Last updated
12/01/2016
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