Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DWAYNE GAIL SUMMERS DMD
NPI 1023008364
Dentist in Carbondale, IL

Active since October 27, 2005
1365 DOUGLAS DR, CARBONDALE, IL 62901(618) 453-2353(618) 453-7020 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Dwayne Gail Summers Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DWAYNE GAIL SUMMERS DMD (NPI 1023008364) is an individual dentist in Carbondale, Illinois and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1023008364
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DWAYNE GAIL SUMMERSCredential: DMD
Location Address1365 DOUGLAS DRCarbondale, IL 62901-2583
Mailing Address1365 Douglas DrCarbondale, IL 62901-2583 · (618) 453-2353 · Fax (618) 453-7020
Fax(618) 453-7020
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1023008364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1365 DOUGLAS DR, Carbondale, IL 62901

Other Identifiers 1

Medicaid1005432IL

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1365 DOUGLAS DR
CARBONDALE, IL 62901
Clinic/Center (Dental)
1365 DOUGLAS DR, COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH
CARBONDALE, IL 62901
Dental Hygienist
1365 DOUGLAS DR
CARBONDALE, IL 62901
Dentist
1365 DOUGLAS DR
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023008364, enumerated as an "individual" on October 27, 2005.

The provider is located at 1365 DOUGLAS DR CARBONDALE, IL 62901 and the phone number is (618) 453-2353.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.