Healthcare Provider Details

I. General information

NPI: 1275368516
Provider Name (Legal Business Name): HOWARD SOMMERS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10855 N FRANK LLOYD WRIGHT BLVD STE 105
SCOTTSDALE AZ
85259-4064
US

IV. Provider business mailing address

10855 N FRANK LLOYD WRIGHT BLVD STE 105
SCOTTSDALE AZ
85259-4064
US

V. Phone/Fax

Practice location:
  • Phone: 480-451-1215
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD SOMMERS
Title or Position: OWNER
Credential:
Phone: 480-451-1215