Provider Demographics
NPI:1497899298
Name:SUMMERS, TERRY R (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:R
Last Name:SUMMERS
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:5920 SARATOGA BLVD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414
Mailing Address - Country:US
Mailing Address - Phone:361-851-1876
Mailing Address - Fax:361-980-0980
Practice Address - Street 1:5920 SARATOGA BLVD
Practice Address - Street 2:SUITE 370
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-851-1876
Practice Address - Fax:361-980-0980
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX168761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry