Summers, Brian R

Summers, Brian R is an individual health care provider with primary practice located at 108 Oakmont Dr , Greenville NC 27858-5936. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Summers, Brian R can be contacted via phone (252) 756-1456.

Contact Information

Primary practice address
108 Oakmont Dr Greenville NC 27858-5936
Phone: (252) 756-1456
Fax: (252) 317-8335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 5854 North Carolina

Profile Details

NPI number 1255400172
LBN Legal business name Summers, Brian R
Credentials D.D.S.,M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255400172 NPPES
North Carolina Other 98211 BCBS PROVIDER NUMBER

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