Organization
MICHAEL G. SUMMERS DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G. SUMMERS D.D.S., M.S. (OWNER)
(208) 232-0464
Entity
Organization
Contact information
Practice address
1133 CALL CREEK, SUITE B, POCATELLO, ID 83202
(208) 232-0464
(208) 232-0863
Mailing address
1133 CALL CREEK, SUITE B, POCATELLO, ID 83202
(208) 232-0464
(208) 232-0863
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3284-OR
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000015300
—
ID
01
—
645574
UNITED CONCORDIA INS. CO.
ID
01
—
6G405
INSURANCE CO.
ID
01
—
6G421
INSURANCE CO.
ID
05
—
805033500
—
ID
05
—
9201874
—
ID
05
—
9202522
—
ID
01
—
963311
INSURANCE CO.
ID
Enumeration date
05/13/2008
Last updated
05/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us