Organization · Type 2 NPI
Michael G. Summers Dds, Ms, PA
Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID
Practice location
1133 Call Creek, Suite B
Pocatello, ID 83202
Fax (208) 232-0863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D-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 1740457332
Michael G. Summers Dds, Ms, PA's National Provider Identifier is 1740457332, issued on May 13, 2008. 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 May 13, 2008.