Provider Demographics
NPI:1487801221
Name:MCCUMBER, MARGO LEAH (DDS)
Entity type:Individual
Prefix:DR
First Name:MARGO
Middle Name:LEAH
Last Name:MCCUMBER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:MARGO
Other - Middle Name:LEAH
Other - Last Name:WADE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2239 KATHERINE DR
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3010
Mailing Address - Country:US
Mailing Address - Phone:607-438-0347
Mailing Address - Fax:
Practice Address - Street 1:2929 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9440
Practice Address - Country:US
Practice Address - Phone:716-831-8844
Practice Address - Fax:716-834-2073
Is Sole Proprietor?:No
Enumeration Date:2008-08-23
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054517122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist