Individual provider

SUMMER SOPHIA MACK, DMD

CMS NPPES lists SUMMER SOPHIA MACK as an individual provider record with NPI 1043109606. The current record reports a primary practice location in ABERDEEN, NC and primary taxonomy code 122300000X.

NPI 1043109606Record type Type 1Primary taxonomy 122300000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    292 TURNER ST # BABERDEEN, NC 283152363

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 122300000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
June 30, 2025

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.