Individual provider · Type 1 NPI

Summer Gavin

Dentist · Wilkes Barre, PA

NPI number 1093663445 Active

Practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Call (570) 824-3521 Map

Mailing address

233 Hemlock Ter
Mountain Top, PA 18707-1530

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X0401419891 (VA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1093663445

Summer Gavin's National Provider Identifier is 1093663445, issued on Mar 20, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Mar 20, 2026.