SUMMER LANE NPI 1558761585

NPI Information

NPI: 1558761585
Provider Name: SUMMER LANE
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
6780 S FORT APACHE RD STE 108
LAS VEGAS, NV
ZIP 89148
Phone: (725) 235-9301
Get Directions

Summer Lane is an oral and maxillofacial surgery dentist in Las Vegas, NV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Summer Lane NPI is 1558761585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6780 S FORT APACHE RD STE 108
LAS VEGAS, NV
ZIP 89148-405
Phone: (725) 235-9301

The enumeration date for this NPI number is 8/27/2014 and was last updated on 6/10/2022.

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
1	122300000X	Dentist		DS-041228	PENNSYLVANIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	S2-180	NEVADA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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