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Deactivated NPI 1760492540 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry Summers , DDS

Dentist - General Practice • Cherry Hill, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Summers has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2006
NPI Deactivation Date February 15, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Summers, DDS was a registered Dentist - General Practice practicing in Cherry Hill, NJ. Throughout an active medical career spanning 13 years, Dr. Summers provided care at the practice location at 3400 CHURCH ROAD until profile deactivation on 2019-02-15.

Practice Location & Contact Primary Location

Practice Address

3400 Church Road
3400 Church Road

Cherry Hill, NJ 08002

Telephone 8566671313

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cherry Hill, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
45 Specialists

Practicing in Cherry Hill, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 6393NJ

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 15, 2019

Record deactivated on February 15, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3400 CHURCH ROAD, 3400 CHURCH ROAD, CHERRY HILL, NJ 08002 (Tel: 8566671313)

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Updated Business Mailing Address July 08, 2007

Registered at 3400 CHURCH ROAD, 3400 CHURCH ROAD, CHERRY HILL, NJ 08002 (Tel: 8566671313)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY SUMMERS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6393NJ in NJ)

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Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760492540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2006
Last Update: July 08, 2007
Deactivation Date: February 15, 2019

Mailing Address

3400 Church Road, 3400 Church Road

Cherry Hill, NJ 08002

Phone: 8566671313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.