KEENAN SEAN SUMMERLIN D.M.D. NPI 1932451895

NPI Information

  • NPI: 1932451895
  • Provider Name: KEENAN SEAN SUMMERLIN, D.M.D.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: PSC 475
    BOX 1766
    FPO, AP
    ZIP 96350
  • Phone: (315) 243-3540

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NPI Details

Keenan Sean Summerlin, D.M.D. is a general practice dentist in Fpo, AP. 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. Keenan Sean Summerlin, D.M.D. NPI is 1932451895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PSC 475
BOX 1766
FPO, AP
ZIP 96350-998
Phone: (315) 243-3540

The enumeration date for this NPI number is 10/2/2012 and was last updated on 10/2/2012.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN014494GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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