| Mark G Summersett, DDS | |
|
12 S. Fourth St., Lanse, MI 49946-0009 | |
| (906) 524-6420 | |
| (906) 524-6821 |
| Full Name | Mark G Summersett |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 12 S. Fourth St., Lanse, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134174204 | NPI | - | NPPES |
| 1778884 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901013208 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Summersett, DDS 12 S. Fourth St., Lanse, MI 49946-0009 Ph: (906) 524-6420 | Mark G Summersett, DDS 12 S. Fourth St., Lanse, MI 49946-0009 Ph: (906) 524-6420 |
Dr. Ronald James Carmody, DDS Dentist Medicare: Medicare Enrolled Practice Location: 15647 Nordstrom St, Lanse, MI 49946 Phone: 906-524-6420 | |
Dr. Steven Lee Tollefson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Hc 3 Box 897, Lanse, MI 49946 Phone: 906-524-6960 Fax: 906-524-6960 | |
Kristina B Welle, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12 S 4th St, Lanse, MI 49946 Phone: 906-524-6420 |