Jack Donald Summerlin II D.D.S.

NPI 1669591541 - Dentist - 1223G0001X

NPI Details
NPI 1669591541
Gender Male
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3351 N MERIDIAN ST
SUITE 105
INDIANAPOLIS IN, 46208-4479, US
Phone (317) 926-5200
Fax
Business Location
3351 N MERIDIAN ST
SUITE 105
INDIANAPOLIS IN, 46208-4479, US
Phone (317) 926-5200
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 7904
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According to our database, Dr. Jack Donald Summerlin II D.D.S. NPI is 1669591541, taxonomy code is 1223G0001X and license number is 7904, license state is located at Indiana. Jack Donald Summerlin II D.D.S. physically located at 3351 N Meridian St, Indianapolis IN, 46208-4479. NPI Number Jack Donald Summerlin II D.D.S. has the Individual type.

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1669591541 NPI number is provided on an as is basis without warranty of any kind. 1669591541 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Donald Summerlin II D.D.S. are for informational purposes only.