Provider Demographics
NPI:1073646857
Name:SOMMER, WILLIAM A (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:SOMMER
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 1:29605 N CAVE CREEK RD
Mailing Address - Street 2:STE 104
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-2360
Mailing Address - Country:US
Mailing Address - Phone:480-563-8686
Mailing Address - Fax:480-563-8996
Practice Address - Street 1:29605 N CAVE CREEK RD
Practice Address - Street 2:STE 104
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2360
Practice Address - Country:US
Practice Address - Phone:480-563-8686
Practice Address - Fax:480-563-8996
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist