DR. DON-JOHN SUMMERLIN D.M.D. NPI 1114975018

NPI Information

  • NPI: 1114975018
  • Provider Name: DR. DON-JOHN SUMMERLIN, D.M.D.
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9292 N MERIDIAN ST
    210
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 843-2204

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NPI Details

DR. Don-john Summerlin, D.M.D. is an oral and maxillofacial pathology dentist in Indianapolis, IN. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. Don-john Summerlin, D.M.D. NPI is 1114975018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9292 N MERIDIAN ST
210
INDIANAPOLIS, IN
ZIP 46260-857
Phone: (317) 843-2204
Fax: (317) 843-2478

The NPI 1114975018 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0106XDentistOral and Maxillofacial Pathology12009088AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U25097MEDICARE UPININDIANA
2273850MEDICARE ID-TYPE UNSPECIFIEDINDIANA
320030530AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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