MEDICARE: SUMER BERMANI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	14215690-9926	UT

General Provider Information

NPI Number	:	1801685854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMER BERMANI DMD

Provider Business Mailing Address
First Line	:	597 W 5300 S
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5647
Country	:	US
Telephone Number	:	385-462-8476
Fax Number	:

Provider Business Practice Location Address
First Line	:	597 W 5300 S
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5647
Country	:	US
Telephone Number	:	385-462-8476
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	06/08/2026

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Directions to “ SUMER BERMANI DMD” Practice Location

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