Advanced Dental Care of Summerlin Place

NPI #1093322026 in Indianapolis, Indiana

Provider Information

NPI Number: 1093322026
Entity Type: Organization
Organization Name: Advanced Dental Care of Summerlin Place
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 24, 2020
Last Updated: Sep 24, 2020

Practice Location

Address: 3351 N MERIDIAN ST STE 105
City: Indianapolis
State: Indiana
ZIP Code: 46208-4674
Phone: (317) 926-5200

Authorized Official

Name: DR. JACK DONALD SUMMERLIN III, DDS
Title: OWNER
Phone: (317) 409-8819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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