Dwayne Gail Summers in Carbondale - Dentist
Dwayne Gail Summers - NPI 1023008364
Dwayne Gail Summers is a Dentist in Carbondale, Illinois. Dwayne Gail Summers practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dwayne Gail Summers is 1023008364. The last update date is 2007-07-09.
Dwayne Gail Summers's current location address is 1365 Douglas Dr, Carbondale, Illinois. You can contact this provider via phone number 6184532353 and fax number 6184537020. The mailing address for Dwayne Gail Summers is 1365 Douglas Dr, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Gail Summers |
|---|---|
| Address | 1365 Douglas Dr, Carbondale, Illinois |
| Phone Number | 6184532353 |
| Fax Number | 6184537020 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1023008364 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1365 Douglas Dr |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629012583 |
| Phone Number | 6184532353 |
| Fax Number | 6184537020 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1005432 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Dwayne Gail Summers by the Centers for Medicare & Medicaid Services?
The Dwayne Gail Summers has been issued the NPI (National Provider Identifier) 1023008364. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dwayne Gail Summers's facilities are geographically located?
The facilities of Dwayne Gail Summers are physically situated at the following location: 1365 Douglas Dr, Carbondale, IL, 629012583.
What is Dwayne Gail Summers's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dwayne Gail Summers is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023008364 to Dwayne Gail Summers?
The Centers for Medicare & Medicaid Services assigned the 1023008364 to Dwayne Gail Summers on 2005-10-27.
When was the information regarding Dwayne Gail Summers, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dwayne Gail Summers, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1376546309
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