Individual
MARK G SUMMERSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12 S. FOURTH ST., LANSE, MI 49946-0009
(906) 524-6420
(906) 524-6821
Mailing address
12 S. FOURTH ST., LANSE, MI 49946-0009
(906) 524-6420
(906) 524-6821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1778884
—
MI
Enumeration date
05/24/2006
Last updated
05/26/2016
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