Individual provider · Type 1 NPI

Summer Cheyenne Booth, DDS

Student in an Organized Health Care Education/Training Program · Mesa, AZ

NPI number 1609716869 Active

Practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Call (480) 248-8107 Map

Mailing address

2744 W Florimond Rd
Phoenix, AZ 85086-6655

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609716869

Summer Cheyenne Booth, DDS's National Provider Identifier is 1609716869, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 30, 2026.