WILLIAM SUMMERVILLE DDS PLLC NPI 1386681625

NPI Information

WILLIAM SUMMERVILLE DDS PLLC is a general practice dentist in Charlotte, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WILLIAM SUMMERVILLE DDS PLLC NPI is 1386681625. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Distinctive Dentistry Of Charlotte.

The provider's business location address is:

475 N WENDOVER RD
CHARLOTTE, NC
ZIP 28211-064
Phone: (704) 540-5400
Fax: (704) 364-5293

The provider's authorized official is Mary Blankenship .
The authorized official title is Office Manager and has the following contact phone number (704) 540-5400.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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