Emily Summerlin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12012005A Issued in IN

Practice address

554 Keily Street
Bureau of Medicine and Surgery-Centralized Credentials
Jacksonville, FL 32212

Phone

(757) 953-7011

NPI assigned

Oct 25, 2013

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

Other names 1

• Emily Wampler Former name

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": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1740618958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 KEILY STREET",
            "address_2": "BUREAU OF MEDICINE AND SURGERY-CENTRALIZED CREDENTIALS",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 KEILY STREET",
            "address_2": "BUREAU OF MEDICINE AND SURGERY-CENTRALIZED CREDENTIALS",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERLIN",
        "first_name": "EMILY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012005A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WAMPLER",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Sulzer
• Jessi N Suminski, BC-HIS
• Shanta D Sumlin
• Summer Brook FL SNF Management LLC
• Summerlin Imaging Center LLC
• Bibi Summers-Cabble
• Kelly Marie Summers, ARNP
• Kendra Summers, OTR/L
• Lesley Nicole Summers, MAT, MA, CCC-SLP
• Millely Josefina Summers

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.