SHANNON ROBERT CUMMINS

SPRINGFIELD, IL
NPI1912190968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019020732)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
Dr. SHANNON ROBERT CUMMINS D.M.D.
1140 RICKARD RD
SPRINGFIELD, IL 62704-6385
Phone number: 217-787-3096
Mailing Address
Dr. SHANNON ROBERT CUMMINS D.M.D.
1140 RICKARD RD
SPRINGFIELD, IL 62704-6385
Phone number: 217-787-3096