DR. JACK DONALD SUMMERLIN D.D.S. NPI 1669591541

NPI Information

NPI: 1669591541
Provider Name: DR. JACK DONALD SUMMERLIN, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3351 N MERIDIAN ST
SUITE 105
INDIANAPOLIS, IN
ZIP 46208
Phone: (317) 926-5200
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DR. Jack Donald Summerlin, D.D.S. is a general practice dentist in Indianapolis, IN. The provider is 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. DR. Jack Donald Summerlin, D.D.S. NPI is 1669591541. 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:

3351 N MERIDIAN ST
SUITE 105
INDIANAPOLIS, IN
ZIP 46208-479
Phone: (317) 926-5200

The enumeration date for this NPI number is 3/29/2007 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
1	1223G0001X	Dentist	General Practice	7904	INDIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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