Advanced Dental Care of Fortville, LLC
NPI #1205454014 in Fortville, Indiana
Provider Information
- NPI Number
- 1205454014
- Entity Type
- Organization
- Organization Name
- Advanced Dental Care of Fortville, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 8, 2020
- Last Updated
- Jul 8, 2020
Practice Location
Authorized Official
- Name
- JACK SUMMERLIN III, DDS
- Title
- OWNER
- Phone
- (765) 485-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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