Summit Dental LLC

NPI #1972882736 in Knox, Indiana

Provider Information

NPI Number: 1972882736
Entity Type: Organization
Organization Name: Summit Dental LLC
Primary Specialty: Dentist
Enumeration Date: Aug 11, 2011
Last Updated: Aug 11, 2011

Practice Location

Address: 1006 S EDGEWOOD DR
Address 2: SUITE A
City: Knox
State: Indiana
ZIP Code: 46534-8226
Phone: (574) 772-3541

Authorized Official

Name: DR. CHRISTOPHER HULEN, DDS
Title: PRESIDENT
Phone: (574) 772-3541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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