Healthcare Provider Details

I. General information

NPI: 1033255906
Provider Name (Legal Business Name): TODD EDWARD SUMNER DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8937 LA ENTRADA AVE
WHITTIER CA
90605-1711
US

IV. Provider business mailing address

8937 LA ENTRADA AVE
WHITTIER CA
90605-1711
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0943
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number58935
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License NumberS2-186C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: