DR. Dwayne Gail Summers, DMD

NPI #1023008364 in Carbondale, Illinois

Provider Information

NPI Number: 1023008364
Entity Type: Individual
Name: DR. Dwayne Gail Summers, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 27, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 1365 DOUGLAS DR
City: Carbondale
State: Illinois
ZIP Code: 62901-2583
Phone: (618) 453-2353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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