Summer M Harris
Individual provider Active NPI Dental Assistant · JBLM, WA
NPI 1487435483 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1487435483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- Practice address
- 2103 North Division
JBLM, WA 98433 - Phone
- (253) 967-3416
- NPI assigned
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | |||
| Dental Assistant | 126800000X | WA | Yes |
Addresses
Primary practice location
2103 North Division
JBLM, WA 98433
Mailing address
2103 North Division
JBLM, WA 98433
Phone (253) 967-3416
Other providers in JBLM, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.