Individual
DR. DONALD CHARLES SUMMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1240 CEDAR CT, CARBONDALE, IL 62901-5334
(618) 549-7621
(618) 549-8570
Mailing address
1240 CEDAR CT, CARBONDALE, IL 62901-5334
(618) 549-7621
(618) 549-8570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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