Organization
SUMMERS AND JOHNSON PERIODONTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R SUMMERS DDS MS (PRESIDENT)
(252) 756-1456
Entity
Organization
Contact information
Practice address
108 OAKMONT DRIVE, GREENVILLE, NC 27858
(252) 756-1456
(252) 317-8335
Mailing address
108 OAKMONT DRIVE, GREENVILLE, NC 27858
(252) 756-1456
(252) 317-8335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5854
NC
122300000X
Dentist
6573
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90248
BCBS
NC
01
—
98211
BCBS
NC
Enumeration date
07/11/2006
Last updated
08/22/2020
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