Healthcare Provider Details

I. General information

NPI: 1942499371
Provider Name (Legal Business Name): DEAN BRIAN SOMMERFIELD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42801 SCHOOLCRAFT RD
PLYMOUTH MI
48170
US

IV. Provider business mailing address

42801 SCHOOLCRAFT RD
PLYMOUTH MI
48170
US

V. Phone/Fax

Practice location:
  • Phone: 734-420-2326
  • Fax: 734-420-0465
Mailing address:
  • Phone: 734-420-2326
  • Fax: 734-420-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10260
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: