Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Logan Autry Cumbaa, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841184199

Dr. Logan Autry Cumbaa, DMD is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1215 Vine St NE
Gainesville, GA 30501-2535
Phone: (770) 532-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN123787 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841184199
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address248 Due South Rd, Whigham, GA 39897-4032

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