Individual
DR. DAVID CLARK SUMMERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S
Contact information
Practice address
4032 BALMORAL DRIVE, SW, HUNTSVILLE, AL 35801
(256) 883-4032
(256) 883-4029
Mailing address
4032 BALMORAL DRIVE, SW, HUNTSVILLE, AL 35801
(256) 883-4032
(256) 883-4029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6221C1
AL
1223G0001X
General Practice Dentistry
6221
AL
1223P0300X
Periodontics
Primary
6221
AL
1223P0300X
Periodontics
AL6221
AL
Other
Enumeration date
07/15/2015
Last updated
09/20/2021
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