Summer Patterson Shelton, DDS
Individual provider Active NPI Dentist · Norwood, NC
NPI 1639458334 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1639458334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9152 (NC)
- Practice address
- 311 S Main St
Norwood, NC 28128-7429 - Phone
- (704) 474-3153
- NPI assigned
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9152 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwood, Lassiter and Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9152 | NC | Yes |
Addresses
Primary practice location
311 S Main St
Norwood, NC 28128-7429
Mailing address
PO Box 859
Norwood, NC 28128-0859
Phone (704) 474-3153
Other providers in Norwood, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2011. 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.