IndividualActive
Andrew Summers, DDS
NPI 1164430393 · Orthodontics and Dentofacial Orthopedics Dentistry · Rexburg, ID
Provider details
- NPI number
- 1164430393
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-3625-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
36 Professional Plz
Suite 200
Rexburg, ID 83440-2049
Phone: (208) 356-3621
Fax: (208) 356-5743
Approximate (ZIP-level) locationGet directions
Mailing address
36 Professional Plz
Rexburg, ID 83440-2049
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.