Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK DONALD SUMMERLIN II, D.D.S.
Active Sole ProprietorDR. JACK DONALD SUMMERLIN II, D.D.S. is a General Dentistry healthcare provider located in INDIANAPOLIS, Indiana. NPI 1669591541 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1669591541
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2007 (19.391086004539 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7904 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3351 N MERIDIAN STSUITE 105INDIANAPOLIS, IN, 462084479Browse IN providers · Browse ZIP 46208
- Phone
- 3179265200
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. CYNTHIA L. HOVEY | D.D.S. | 1902808280 |
| DR. MATTHEW CHARLES MOELLER | D.D.S. | 1659375319 |
| SCOTT W MCDONALD | D.D.S. | 1669477519 |
| DR. RICHARD ALLEN COFFMAN | DDS | 1700881588 |
| DR. NORMAN BLAINE COOK | D.D.S., M.S.D. | 1528055951 |
| DR. ROBERT KEITH ROONEY | DDS PC | 1689662298 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.