Provider Demographics
NPI:1386856235
Name:SUMMA PHYSICIANS, INC-SUMMA'S CENTER FOR DENTAL HEALTH
Entity Type:Organization
Organization Name:SUMMA PHYSICIANS, INC-SUMMA'S CENTER FOR DENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:T. CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVENY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-996-8798
Mailing Address - Street 1:525 E MARKET ST
Mailing Address - Street 2:SPI-GROUND FLOOR
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1619
Mailing Address - Country:US
Mailing Address - Phone:330-996-8798
Mailing Address - Fax:330-996-8695
Practice Address - Street 1:75 ARCH ST
Practice Address - Street 2:STE. 303
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1429
Practice Address - Country:US
Practice Address - Phone:330-375-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty