Summer Gavin
Dentist in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1093663445
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1093663445
- Entity type
- Individual (NPI-1)
- Name
- Summer Gavin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2026
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401419891 | VA | Yes |
Practice location
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521
Mailing address
233 Hemlock TerMountain Top, PA 18707-1530
Phone 570-259-7603
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All 20 Dentist providers in Wilkes Barre · All 2,978 providers in Wilkes Barre
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