Individual provider · Type 1 NPI

Michael G. Summers, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID

NPI number 1598989840 Active

Practice location

1133 Call Creek Dr.
Pocatello, ID 83201-3000

Fax (208) 232-0863

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-3284-OR (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1598989840

Michael G. Summers, DDS, M.S.'s National Provider Identifier is 1598989840, issued on Apr 11, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.