Individual
DR. MICHAEL SOMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
909 WALNUT ST, 3RD FLOOR CLINICAL OFFICE BUILDING, PHILADELPHIA, PA 19107-5211
(215) 503-7118
Mailing address
37A BEDFORD ST # A, APT. 24, NEW YORK, NY 10014-4417
(804) 501-8918
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02675500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2013
Last updated
03/13/2018
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