Individual
DR. BRIAN R SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
108 OAKMONT DR, GREENVILLE, NC 27858-5936
(252) 756-1456
(252) 317-8335
Mailing address
4203 STERLING TRACE DR, WINTERVILLE, NC 28590-9323
(252) 756-3538
(252) 317-8335
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5854
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98211
BCBS PROVIDER NUMBER
NC
Enumeration date
11/07/2006
Last updated
07/08/2007
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