Individual
DR. PETER SUMMERFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 N. B ST., ZUNI, NM 87327
(617) 686-7085
Mailing address
PO BOX 542, ZUNI, NM 87327-0542
(617) 686-7085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038517
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68221231
—
NM
Enumeration date
06/09/2011
Last updated
10/29/2013
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