Summer Suzanne Delille, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH22275 Issued in FL

Practice address

95054 Oriole St.
Fernandina Beach, FL 32034

Phone

(912) 409-2650

NPI assigned

Nov 8, 2012

Sex

Female

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

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1043564289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95054 ORIOLE ST.",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "912-409-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95054 ORIOLE ST.",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "912-409-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELILLE",
        "first_name": "SUMMER",
        "middle_name": "SUZANNE",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH22275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Cummings
• Kathleen Cwikla, OD
• David Daugherty, RMFTI
• Wendy A De Santo, PT
• Shanin Leah Degraw, PTA
• Cletus Leon Deller, LMHC INTERN
• Margeaux Jenee Dennis, DO
• Stephanie Desilet, MS, CCC-SLP
• Philip Todd Devane, M.D.
• Diana R Twiggs MD

• Dental Hygienist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.