Provider Demographics
NPI:1376509414
Name:SOMMERS, HOWARD I (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:I
Last Name:SOMMERS
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 1:10855 N FRANK LLOYD WRIGHT BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4064
Mailing Address - Country:US
Mailing Address - Phone:480-451-1215
Mailing Address - Fax:480-314-4181
Practice Address - Street 1:10855 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:SUITE #105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4064
Practice Address - Country:US
Practice Address - Phone:480-451-1215
Practice Address - Fax:480-314-4181
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4325122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ861047574OtherTAX ID