Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SUMMERFIELD FAMILY DENTAL
Active
Organization
SUMMERFIELD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ROY JOHNSON DMD (PARTNER)
(813) 677-4080
Entity
Organization
Contact information
Practice address
11319 BIG BEND RD, RIVERVIEW, FL 33569-7183
(813) 677-4080
(813) 677-4064
Mailing address
11319 BIG BEND RD, RIVERVIEW, FL 33569-7183
(813) 677-4080
(813) 677-4064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN15183
FL
1223G0001X
General Practice Dentistry
DN16752
FL
1223G0001X
General Practice Dentistry
Primary
DN17531
FL
Other
Enumeration date
05/14/2007
Last updated
08/02/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up