Provider Demographics
NPI:1073621637
Name:SOMERS, DAVID W (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:SOMERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 STATE ROUTE 257
Mailing Address - Street 2:PO BOX 227
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-0227
Mailing Address - Country:US
Mailing Address - Phone:814-676-1849
Mailing Address - Fax:814-676-0598
Practice Address - Street 1:3605 STATE ROUTE 257
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-0227
Practice Address - Country:US
Practice Address - Phone:814-676-1849
Practice Address - Fax:814-676-0598
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021382L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice