Provider Demographics
NPI:1043402910
Name:SAWYER, SUMMER ANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:ANNE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7802 TIMBERLAKE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2602
Mailing Address - Country:US
Mailing Address - Phone:434-239-6948
Mailing Address - Fax:434-239-9158
Practice Address - Street 1:7802 TIMBERLAKE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2602
Practice Address - Country:US
Practice Address - Phone:434-239-6948
Practice Address - Fax:434-239-9158
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014119391223G0001X
PA10434029101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice