Summerville, John W
Summerville, John W is an individual health care provider with primary practice located at 8 Essex Way Suite 100, Essex Jct VT 05452-3425. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Summerville, John W can be contacted via phone (802) 879-1233.Contact Information
Primary practice address
8 Essex Way Suite 100
Essex Jct VT 05452-3425
Phone: (802) 879-1233
Fax: (802) 879-3181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Vermont |
Profile Details
| NPI number | 1265471247 |
|---|---|
| LBN Legal business name | Summerville, John W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265471247 | NPPES |
| Vermont | Other | SUMM2443 | BCBS |
| Vermont | MEDICAID | 0002443 | BCBS |
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