Joseph T. Sumrall Jr., D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9387 Issued in GA

Practice address

100 S Houston Rd
Warner Robins, GA 31088-3904

Phone

(478) 929-1661

Fax

(478) 929-1219

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph T. Sumrall, Jr., D.M.D., P.C. Jeffrey T. Vasko, D.M.D.

  • General Practice Dentistry
  • Warner Robins, GA
  • NPI 1396838553
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003909243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CARTWRIGHT DR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053907",
            "telephone_number": "478-929-1661",
            "fax_number": "478-929-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883904",
            "telephone_number": "478-929-1661",
            "fax_number": "478-929-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "JOSEPH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Sullivan, M.D.
• Stephen D Summerow, O.D.
• Summers Retirement, LLC
• Cheryl Summers
• Joseph G Sumrall, D.M.D.
• Whitney B Sumrall, SPEECH THERAPY
• Sunrise Autism Therapies
• Sure Care Medical Transportation, LLC
• Surgical Associates of WR, PC
• Susan F Davenport PHD Inc

• General Practice Dentistry in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.