Provider Demographics
NPI:1326444183
Name:DIANA SUMMERS DENTA
Entity Type:Organization
Organization Name:DIANA SUMMERS DENTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-726-6070
Mailing Address - Street 1:24761 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 680
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-3933
Mailing Address - Country:US
Mailing Address - Phone:727-726-6070
Mailing Address - Fax:
Practice Address - Street 1:24761 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 680
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-3933
Practice Address - Country:US
Practice Address - Phone:727-726-6070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3195Medicare UPIN